Basic Information
| Provider Information | |||||||||
| NPI: | 1700149218 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HOSPITALIST ALLIANCE LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 5491 | ||||||||
| Address2: | |||||||||
| City: | KEY WEST | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330455491 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3052953535 | ||||||||
| FaxNumber: | 8666299347 | ||||||||
| Practice Location | |||||||||
| Address1: | 5900 COLLEGE RD | ||||||||
| Address2: | |||||||||
| City: | KEY WEST | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330404342 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3052953535 | ||||||||
| FaxNumber: | 8666299347 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/19/2012 | ||||||||
| LastUpdateDate: | 03/18/2014 | ||||||||
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| AuthorizedOfficialLastName: | ATILLA | ||||||||
| AuthorizedOfficialFirstName: | MEHMET | ||||||||
| AuthorizedOfficialMiddleName: | AYDIN | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 8778176017 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208M00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.