OrganizationActive
Medical Home Alliance LLC
NPI 1316614290 · Internal Medicine Physician · Davenport, FL
Provider details
- NPI number
- 1316614290
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Medical Home Alliance LLC
- Organization subpart
- Yes
- Authorized official
- Vanessa Hourihan, Vp of Revenue Cycle(407) 845-0322
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
130 Ridge Center Dr Ste 104
Davenport, FL 33837-6414
Phone: (863) 421-9447
Street-level locationGet directions
Mailing address
6675 Westwood Blvd Ste 475
Orlando, FL 32821-6027
Other names (DBA / former)
- Doing business as
- Ima Medical Group - Tpc
Registry dates
- Enumerated
- 2021-08-27
- Last updated
- 2025-12-16
- Certified
- 2025-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.