Provider Demographics
NPI:1356947865
Name:HORIZON MED SUPPLIES LLC
Entity type:Organization
Organization Name:HORIZON MED SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAZARO
Authorized Official - Middle Name:E
Authorized Official - Last Name:ABREU CAMPO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-461-9669
Mailing Address - Street 1:224 DATURA ST STE 1107
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-5611
Mailing Address - Country:US
Mailing Address - Phone:561-461-9669
Mailing Address - Fax:
Practice Address - Street 1:224 DATURA ST STE 1107
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-5611
Practice Address - Country:US
Practice Address - Phone:561-461-9669
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-09
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies