Healthcare Provider Details

I. General information

NPI: 1992714828
Provider Name (Legal Business Name): NEVENKA HORVAT M. D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2006
Last Update Date: 03/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 CLARK RD STE 160
SARASOTA FL
34231-8432
US

IV. Provider business mailing address

3333 CLARK RD
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 Code208000000X
TaxonomyPediatrics Physician
License NumberME0039577
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: