MEDICARE: HORIZONS MEDICAL SUPPLIES AND HOMECARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	1312825	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	R9896	OTHER	FL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1740242262
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HORIZONS MEDICAL SUPPLIES AND HOMECARE LLC

Provider Business Mailing Address
First Line	:	170 S SEMORAN BLVD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32807-3293
Country	:	US
Telephone Number	:	407-240-8600
Fax Number	:	407-386-8711

Provider Business Practice Location Address
First Line	:	170 S SEMORAN BLVD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32807-3293
Country	:	US
Telephone Number	:	407-240-8600
Fax Number	:	407-386-8711

Authorized Official
Title or Position	:	GENERAL MANAGER
Name	:	MRS. SYLVETTE CASTRO
Credential	:	MACP
Telephone Number	:	407-240-8600

Provider Enumeration Date	:	04/03/2006
Last Update Date	:	11/27/2012

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Directions to “HORIZONS MEDICAL SUPPLIES AND HOMECARE LLC ” Practice Location

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