Healthcare Provider Details

I. General information

NPI: 1992919351
Provider Name (Legal Business Name): BRANIMIR L HORVAT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 03/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 CLARK RD SUITE 160
SARASOTA FL
34231-8432
US

IV. Provider business mailing address

3333 CLARK RD SUITE 160
SARASOTA FL
34231-8432
US

V. Phone/Fax

Practice location:
  • Phone: 941-923-1809
  • Fax: 941-927-9645
Mailing address:
  • Phone: 941-923-1809
  • Fax: 941-927-9645

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberME0029671
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: