Healthcare Provider Details

I. General information

NPI: 1992116537
Provider Name (Legal Business Name): HORIZON PALLIATIVE CARE PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2014
Last Update Date: 03/30/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 34TH AVE N STE 7597
ST PETERSBURG FL
33734-8064
US

IV. Provider business mailing address

901 34TH AVE N STE 7597
ST PETERSBURG FL
33734-8064
US

V. Phone/Fax

Practice location:
  • Phone: 727-742-6239
  • Fax: 941-758-4750
Mailing address:
  • Phone: 727-742-6239
  • Fax: 941-758-4750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE SALVAT
Title or Position: PARTNER
Credential: MD
Phone: 813-361-3782