Provider Demographics
NPI:1740242262
Name:HORIZONS MEDICAL SUPPLIES AND HOMECARE LLC
Entity Type:Organization
Organization Name:HORIZONS MEDICAL SUPPLIES AND HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SYLVETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTRO
Authorized Official - Suffix:
Authorized Official - Credentials:MACP
Authorized Official - Phone:407-240-8600
Mailing Address - Street 1:170 S SEMORAN BLVD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32807-3293
Mailing Address - Country:US
Mailing Address - Phone:407-240-8600
Mailing Address - Fax:407-386-8711
Practice Address - Street 1:170 S SEMORAN BLVD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32807-3293
Practice Address - Country:US
Practice Address - Phone:407-240-8600
Practice Address - Fax:407-386-8711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-03
Last Update Date:2012-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1312825332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL689320198Medicaid
FL689320196Medicaid
FLR9896OtherBLUE CROSS BLUE SHIELD
5600140001Medicare NSC