MEDICARE: MADELYN DAY HORVATH MS, LAT, ATC, CES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer	AL6939	FL

General Provider Information

NPI Number	:	1013793322
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADELYN DAY HORVATH MS, LAT, ATC, CES

Provider Business Mailing Address
First Line	:	11920 CASSANDRA ST UNIT 206
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34654-1525
Country	:	US
Telephone Number	:	218-391-5835
Fax Number	:

Provider Business Practice Location Address
First Line	:	9318 STATE ROAD 52 STE B
Second Line	:
City	:	HUDSON
State	:	FL
Zip	:	34669-4020
Country	:	US
Telephone Number	:	727-605-0080
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/01/2023
Last Update Date	:	09/01/2023

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