Individual
DR. KIMBERLY BOGARD HORNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 WINDERLEY PL STE 115, MAITLAND, FL 32751-7406
(407) 875-0555
Mailing address
1567 TEA OLIVE WAY, OVIEDO, FL 32765-2012
(724) 787-1969
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MT 197513
PA
Other
Enumeration date
06/24/2010
Last updated
07/21/2022
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