Healthcare Provider Details

I. General information

NPI: 1184418808
Provider Name (Legal Business Name): SFA HORIZONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2025
Last Update Date: 04/07/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6932 MINIPPI DR
ORLANDO FL
32818-3343
US

IV. Provider business mailing address

6932 MINIPPI DR
ORLANDO FL
32818-3343
US

V. Phone/Fax

Practice location:
  • Phone: 407-883-8789
  • Fax:
Mailing address:
  • Phone: 407-885-6129
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: SHAMPRELLA ARDS
Title or Position: MANAGER
Credential:
Phone: 407-883-8789