Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | ME 73563 | FL |
NPI | 1346278991 |
---|---|
Provider Name | Dr. Boyce Andrew Hornberger |
First Address | Orlando, FL 32826-2945 |
Second Address | Orlando, FL 32826-2945 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2006 |
Last Update Date | 15/05/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
42216Z | MEDICARE ID (01) | |
C76710 | (02) |