Healthcare Provider Details

I. General information

NPI: 1124369095
Provider Name (Legal Business Name): HORIZON BEHAVIORAL CENTER, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2013
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7860 PETERS RD SUITE F-111
PLANTATION FL
33324-4086
US

IV. Provider business mailing address

130 SOUTH UNIVERSITY DRIVE SUITE B
PLANTATION FL
33324-4086
US

V. Phone/Fax

Practice location:
  • Phone: 954-530-4526
  • Fax:
Mailing address:
  • Phone: 954-530-4526
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME75024
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number0601
License Number StateFL

VIII. Authorized Official

Name: SAYONARA J BAEZ
Title or Position: OWNER
Credential: M.D.
Phone: 954-530-4526