Provider Demographics
NPI:1033878152
Name:ALPHA MEDICINE AND REHAB, LLC
Entity type:Organization
Organization Name:ALPHA MEDICINE AND REHAB, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ALDRICH
Authorized Official - Middle Name:
Authorized Official - Last Name:MENDOZA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-319-3933
Mailing Address - Street 1:PO BOX 100845
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33910
Mailing Address - Country:US
Mailing Address - Phone:239-319-3933
Mailing Address - Fax:239-350-5380
Practice Address - Street 1:2915 COLONIAL BLVD
Practice Address - Street 2:STE 220
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33966
Practice Address - Country:US
Practice Address - Phone:239-319-3933
Practice Address - Fax:239-350-5380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-16
Last Update Date:2025-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Single Specialty