Organization
HORIZONS PEDIATRIC CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS YANCE (ADMIN)
(786) 602-0904
Entity
Organization
Contact information
Practice address
215 IMPERIAL BLVD UNIT B1&B2, LAKELAND, FL 33803-4689
(786) 602-0904
Mailing address
215 IMPERIAL BLVD UNIT B1&B2, LAKELAND, FL 33803-4689
Taxonomy
Speciality
Code
Description
License number
State
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
—
—
Other
Enumeration date
02/16/2023
Last updated
02/22/2024
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