Provider Demographics
NPI:1659322345
Name:HORIZON OF WEST AND SOUTH MIAMI INC
Entity Type:Organization
Organization Name:HORIZON OF WEST AND SOUTH MIAMI INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CATALINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-253-6080
Mailing Address - Street 1:13255 SW 137TH AVE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-5326
Mailing Address - Country:US
Mailing Address - Phone:305-253-6080
Mailing Address - Fax:305-253-4802
Practice Address - Street 1:13255 SW 137TH AVE
Practice Address - Street 2:SUITE 110
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-5326
Practice Address - Country:US
Practice Address - Phone:305-253-6080
Practice Address - Fax:305-253-4802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC6998261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center