Provider Demographics
NPI:1346278991
Name:HORNBERGER, BOYCE ANDREW (MD)
Entity Type:Individual
Prefix:DR
First Name:BOYCE
Middle Name:ANDREW
Last Name:HORNBERGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3151 N ALAFAYA TRL
Mailing Address - Street 2:STE 103
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32826-2945
Mailing Address - Country:US
Mailing Address - Phone:407-380-8700
Mailing Address - Fax:407-380-7043
Practice Address - Street 1:3151 N ALAFAYA TRL
Practice Address - Street 2:STE 103
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32826-2945
Practice Address - Country:US
Practice Address - Phone:407-380-8700
Practice Address - Fax:407-380-7043
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-30
Last Update Date:2014-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 73563207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
42216ZOtherMEDICARE ID
42216ZOtherMEDICARE ID