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Organization

HORIZON ON GRANADA, LLC

Active
Other names
Pleasant Hill family Practice
Organization subpart
No

Provider details

NPI number
Authorized official
MERITA THOMAS MASON (OWNER)
(407) 334-6169
Entity
Organization

Contact information

Practice address
1653 REGAL OAK DR, KISSIMMEE, FL 34744-6644
(407) 334-6169
(407) 350-4613
Mailing address
1653 REGAL OAK DR, KISSIMMEE, FL 34744-6644
(407) 334-6169
(407) 350-4613

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
261QP2300X
Primary Care Clinic/Center

Other

Enumeration date
11/08/2019
Last updated
11/08/2019
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