Provider Demographics
NPI:1235631102
Name:ALPHA MEDICAL SOLUTIONS
Entity Type:Organization
Organization Name:ALPHA MEDICAL SOLUTIONS
Other - Org Name:THE NEURO COMPANY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DANGERFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-874-2325
Mailing Address - Street 1:PO BOX 6902
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32550-1006
Mailing Address - Country:US
Mailing Address - Phone:904-874-2325
Mailing Address - Fax:904-800-6598
Practice Address - Street 1:36468 EMERALD COAST PKWY STE 2203
Practice Address - Street 2:
Practice Address - City:DESTIN
Practice Address - State:FL
Practice Address - Zip Code:32541-4755
Practice Address - Country:US
Practice Address - Phone:904-874-2325
Practice Address - Fax:904-800-6598
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-06
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes293D00000XLaboratoriesPhysiological Laboratory
No246ZE0500XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherEEGGroup - Single Specialty
No261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHCC11555OtherAGENCY FOR HEALTH CARE ADMINISTRATION