MEDICARE: DR. BOYCE ANDREW HORNBERGER M.D.

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	207KA0200X	Allergy Physician	ME 73563	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	42216Z	OTHER		MEDICARE ID

General Provider Information

NPI Number	:	1346278991
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BOYCE ANDREW HORNBERGER M.D.

Provider Business Mailing Address
First Line	:	12315 LAKE UNDERHILL RD STE A
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32828-4507
Country	:	US
Telephone Number	:	407-380-8700
Fax Number	:	407-380-7043

Provider Business Practice Location Address
First Line	:	12315 LAKE UNDERHILL RD STE A
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32828-4507
Country	:	US
Telephone Number	:	407-380-8700
Fax Number	:	407-380-7043

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

Provider Enumeration Date	:	06/30/2006
Last Update Date	:	09/17/2025

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