Healthcare Provider Details

I. General information

NPI: 1538865688
Provider Name (Legal Business Name): HORIZON WEST HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2023
Last Update Date: 12/14/2023
Certification Date: 12/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3145 CITRUS TOWER BLVD STE B
CLERMONT FL
34711-6889
US

IV. Provider business mailing address

10830 LEMON LAKE BLVD
ORLANDO FL
32836-5040
US

V. Phone/Fax

Practice location:
  • Phone: 352-900-5227
  • Fax: 352-308-3159
Mailing address:
  • Phone: 407-256-9246
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. NADER JAMALEDDINE
Title or Position: MANAGER
Credential:
Phone: 407-484-8222