Healthcare Provider Details

I. General information

NPI: 1295426781
Provider Name (Legal Business Name): IZABELA HORZEMPA PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2023
Last Update Date: 02/09/2026
Certification Date: 02/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1343 BOSTON POST RD APT 101
MADISON CT
06443-3481
US

IV. Provider business mailing address

4700 EXCHANGE CT STE 110
BOCA RATON FL
33431-4450
US

V. Phone/Fax

Practice location:
  • Phone: 860-669-6156
  • Fax: 860-664-0285
Mailing address:
  • Phone: 561-948-0291
  • Fax: 561-859-0429

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number6236
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: