Organization
MEDFUND LLC
Active
Other names
Horizon Plantation 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
150 N UNIVERSITY DR, STE 110, PLANTATION, FL 33324-2004
(954) 423-3674
(954) 916-0674
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
HCC5202
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103905414
DEPT OF LABOR/ACS
—
01
—
105715-19
CITRUS HMO
FL
01
—
470001841
RAILROAD MCARE #
—
01
—
470001847
RR MCARE
FL
01
—
V2652
BCBS PROVIDER #
FL
Enumeration date
05/23/2005
Last updated
08/17/2018
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