HORIZON PEDIATRICS, LLC


Address: 611 Demorest St Se, Live Oak, FL 32064-3322
Phone: 3863625437

HORIZON PEDIATRICS, LLC (NPI# 1144475823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144475823
Entity Type Organization
Organization Name HORIZON PEDIATRICS, LLC
Practice Address 611 Demorest St Se
Live Oak
FL 32064-3322
Practice Telephone 3863625437
Practice Fax Number 3863625440
Mailing Telephone 3863625437
Mailing Fax Number 3863625440
Enumeration Date 2008-11-24
Last Update Date 2008-11-24
Authorized Official Name MRS. AMBER S. INGRAM (MANAGER)
Authorized Official Telephone 3863625437
Authorized Official Credential ARNP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Office Location

Street Address 611 DEMOREST ST SE
City LIVE OAK
State FL
Zip Code 32064-3322

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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1992905525 Live Oak Pediatrics, Pa Clinic/Center 12702 Toepperwein Rd, Ste 132, Live Oak, TX 78233-3278 2007-07-23

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Competitor

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City LIVE OAK
Zip Code 32064

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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