Provider Demographics
NPI:1669661203
Name:BOYCE A HORNBERGER MD PA
Entity Type:Organization
Organization Name:BOYCE A HORNBERGER MD PA
Other - Org Name:ALLERGY & ASTHMA CENTER OF EAST ORLANDO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BOYCE
Authorized Official - Middle Name:A
Authorized Official - Last Name:HORNBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-380-8700
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-19
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME73563207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
K6946OtherMEDICARE GROUP ID
C76710Medicare UPIN