Provider Demographics
NPI:1083114771
Name:HG ENTERPRISES
Entity Type:Organization
Organization Name:HG ENTERPRISES
Other - Org Name:MYDOCTORHOUSECALLS.COM
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HORATIO
Authorized Official - Middle Name:
Authorized Official - Last Name:GORDON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-368-7644
Mailing Address - Street 1:11900 BISCAYNE BLVD STE 266
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181-2756
Mailing Address - Country:US
Mailing Address - Phone:786-360-1988
Mailing Address - Fax:786-360-2578
Practice Address - Street 1:11900 BISCAYNE BLVD STE 266
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-2756
Practice Address - Country:US
Practice Address - Phone:786-360-1988
Practice Address - Fax:786-360-2578
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-19
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME126024207Q00000X, 207T00000X, 208600000X
NY230708207Q00000X, 207T00000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL016840200Medicaid