| Horizon Medical Care. Llc | |
|
930 Kingscove Ct Chesterfield MO 63017-8350 | |
| (314) 289-6636 | |
| (636) 778-9068 |
| Full Name | Horizon Medical Care. Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 930 Kingscove Ct, Chesterfield, Missouri |
| Authorized Official Name and Position | Fedwa S Khalifa (OWNER) |
| Authorized Official Contact | 3148373720 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Horizon Medical Care. Llc Po Box 6524 Chesterfield MO 63006-6524 Ph: (314) 432-2580 | Horizon Medical Care. Llc 930 Kingscove Ct Chesterfield MO 63017-8350 Ph: (314) 289-6636 |
| NPI Number | 1063698652 |
|---|---|
| Provider Enumeration Date | 01/14/2008 |
| Last Update Date | 03/21/2012 |
| Medicare PECOS PAC ID | 0143308734 |
|---|---|
| Medicare Enrollment ID | O20080423000073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063698652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 200200823 (Missouri) | Primary |
| Provider Name | Fedwa S Khalifa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265545511 PECOS PAC ID: 0345291324 Enrollment ID: I20050208000078 |
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