Provider Demographics
NPI:1124369095
Name:HORIZON BEHAVIORAL CENTER, P.A.
Entity Type:Organization
Organization Name:HORIZON BEHAVIORAL CENTER, P.A.
Other - Org Name:SAYONARA BAEZ MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAYONARA
Authorized Official - Middle Name:J
Authorized Official - Last Name:BAEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-530-4526
Mailing Address - Street 1:130 SOUTH UNIVERSITY DRIVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-4086
Mailing Address - Country:US
Mailing Address - Phone:954-530-4526
Mailing Address - Fax:
Practice Address - Street 1:7860 PETERS RD
Practice Address - Street 2:SUITE F-111
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-4086
Practice Address - Country:US
Practice Address - Phone:954-530-4526
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME750242084P0800X
FL0601261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use DisorderGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL257 362 800Medicaid
FLH06886Medicare UPIN
FL47092ZMedicare PIN
FLHO163AMedicare PIN