Provider Demographics
NPI:1497707285
Name:ALLIANCE CARE OF FLORIDA INC
Entity Type:Organization
Organization Name:ALLIANCE CARE OF FLORIDA INC
Other - Org Name:ALLIANCECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MAXINE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOCHHAUSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-244-3601
Mailing Address - Street 1:2400 HIGH RIDGE RD
Mailing Address - Street 2:SUITE 101 AND 103
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-8725
Mailing Address - Country:US
Mailing Address - Phone:561-244-0220
Mailing Address - Fax:561-244-0222
Practice Address - Street 1:1700 WATERFORD DR
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32966-8043
Practice Address - Country:US
Practice Address - Phone:772-778-9550
Practice Address - Fax:772-778-8054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL=========OtherFED TAX ID
FL686604Medicare ID - Type Unspecified