Provider Demographics
NPI:1104217645
Name:HORIZON PROFESSIONAL SERVICES INC
Entity Type:Organization
Organization Name:HORIZON PROFESSIONAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROLANDO
Authorized Official - Middle Name:VERGEL
Authorized Official - Last Name:CESPEDES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-366-0531
Mailing Address - Street 1:12460 SW 8 ST
Mailing Address - Street 2:SUITE#204
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33184-4082
Mailing Address - Country:US
Mailing Address - Phone:786-366-0531
Mailing Address - Fax:786-504-9675
Practice Address - Street 1:12460 SW 8 ST
Practice Address - Street 2:SUITE#204
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33184-4082
Practice Address - Country:US
Practice Address - Phone:786-366-0531
Practice Address - Fax:786-504-9675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-05
Last Update Date:2015-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME93644261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center