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Organization

MEDFUND LLC

Active
Other names
Horizon West Palm Beach LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARTIN J KERN (SENIOR VICE PRESIDENT)
(941) 925-3490
Entity
Organization

Contact information

Practice address
1117 N OLIVE AVE, STE 101, WEST PALM BEACH, FL 33401-3520
(561) 651-7410
(561) 651-7417
Mailing address
240 N WASHINGTON BLVD, SARASOTA, FL 34236-5945
(941) 925-3490
(941) 953-4452

Taxonomy

Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
HCC5184
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
105715-20
CITRUS HMO
FL
01
V2651
BCBS PROVIDER #
FL
Enumeration date
05/23/2005
Last updated
08/22/2020
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