OrganizationActive
Medical Home Alliance LLC
NPI 1194239780 · Non-Pharmacy Dispensing Site · Tampa, FL
Provider details
- NPI number
- 1194239780
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Patricia Perez, Coo(407) 845-0330
- License
- ACN515 (FL)
Specialties & taxonomies
Suppliers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4700 N Habana Ave
Tampa, FL 33614-7160
Phone: (813) 444-9599
Fax: (813) 513-8210
Approximate (ZIP-level) locationGet directions
Mailing address
6675 Westwood Blvd Ste 475
Orlando, FL 32821-6027
Other names (DBA / former)
- Doing business as
- Ima West Tampa Dispensary
Registry dates
- Enumerated
- 2017-11-20
- Last updated
- 2017-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.