| Horizon Pediatrics, Llc | |
|
611 Demorest St Se Live Oak FL 32064-3322 | |
| (386) 362-5437 | |
| (386) 362-5440 |
| Full Name | Horizon Pediatrics, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 611 Demorest St Se, Live Oak, Florida |
| Authorized Official Name and Position | Amber S. Ingram (MANAGER) |
| Authorized Official Contact | 3863625437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Horizon Pediatrics, Llc 611 Demorest St Se Live Oak FL 32064-3322 Ph: (386) 362-5437 | Horizon Pediatrics, Llc 611 Demorest St Se Live Oak FL 32064-3322 Ph: (386) 362-5437 |
| NPI Number | 1144475823 |
|---|---|
| Provider Enumeration Date | 11/24/2008 |
| Last Update Date | 11/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144475823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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