Provider Demographics
NPI:1679605430
Name:HORIZON ALTAMONTE SPRINGS LLC
Entity type:Organization
Organization Name:HORIZON ALTAMONTE SPRINGS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:NORMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-617-9402
Mailing Address - Street 1:PO BOX 940536
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32794-0536
Mailing Address - Country:US
Mailing Address - Phone:407-617-9402
Mailing Address - Fax:
Practice Address - Street 1:745 ORIENTA AVE STE 1191
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-6609
Practice Address - Country:US
Practice Address - Phone:407-617-9402
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory