Healthcare Provider Details

I. General information

NPI: 1346278991
Provider Name (Legal Business Name): BOYCE ANDREW HORNBERGER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2006
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12315 LAKE UNDERHILL RD STE A
ORLANDO FL
32828-4507
US

IV. Provider business mailing address

12315 LAKE UNDERHILL RD STE A
ORLANDO FL
32828-4507
US

V. Phone/Fax

Practice location:
  • Phone: 407-380-8700
  • Fax: 407-380-7043
Mailing address:
  • Phone: 407-380-8700
  • Fax: 407-380-7043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License NumberME 73563
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: