Provider Demographics
NPI:1699912956
Name:BL HORVAT MD & ASSOCIATES, INC
Entity type:Organization
Organization Name:BL HORVAT MD & ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRANIMIR
Authorized Official - Middle Name:L
Authorized Official - Last Name:HORVAT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-923-1809
Mailing Address - Street 1:3307 CLARK RD
Mailing Address - Street 2:STE 104
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-8419
Mailing Address - Country:US
Mailing Address - Phone:941-923-1809
Mailing Address - Fax:
Practice Address - Street 1:3307 CLARK RD
Practice Address - Street 2:STE 104
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-8419
Practice Address - Country:US
Practice Address - Phone:941-923-1809
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-08
Last Update Date:2009-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty