MEDICARE: HORIZON MEDICAL SERVICES,LLC

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	174400000X	Specialist

General Provider Information

NPI Number	:	1730110503
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HORIZON MEDICAL SERVICES,LLC

Provider Business Mailing Address
First Line	:	P.O. BOX 2277
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-2277
Country	:	US
Telephone Number	:	954-730-2333
Fax Number	:	954-730-2337

Provider Business Practice Location Address
First Line	:	3920 NW 49TH ST
Second Line	:
City	:	TAMARAC
State	:	FL
Zip	:	33309-3308
Country	:	US
Telephone Number	:	954-730-2333
Fax Number	:	954-730-2337

Authorized Official
Title or Position	:	MANAGER
Name	:	MARIE EVANS
Credential	:
Telephone Number	:	305-245-0069

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	07/14/2009

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