Provider Demographics
NPI:1477997799
Name:NEVENKA HORVAT MD, INC
Entity Type:Organization
Organization Name:NEVENKA HORVAT MD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEE
Authorized Official - Middle Name:
Authorized Official - Last Name:KOMOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-923-1809
Mailing Address - Street 1:3333 CLARK RD
Mailing Address - Street 2:SUITE 160
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-8432
Mailing Address - Country:US
Mailing Address - Phone:941-923-1809
Mailing Address - Fax:941-927-9645
Practice Address - Street 1:3333 CLARK RD
Practice Address - Street 2:SUITE 160
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-8432
Practice Address - Country:US
Practice Address - Phone:941-923-1809
Practice Address - Fax:941-927-9645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-18
Last Update Date:2013-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00395772080A0000X
FLARNP92218772080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Single Specialty