Active NPI
MD Horizon Holdings, LLC
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Melbourne, FL
National Provider Identifier
1407589898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Legal business name
- MD HORIZON HOLDINGS, LLC
- Practice address
- 1698 W Hibiscus Blvd
Melbourne, FL 32901-2639 - Phone
- (321) 676-3200
- NPI assigned
- Jul 5, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Annise Montion
- Title
- Owner
- Phone
- (754) 971-3838
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | Primary |
Addresses
Primary practice location
1698 W Hibiscus Blvd
Melbourne, FL 32901-2639
Mailing address
3330 Banks Rd Apt 206
Margate, FL 33063-8407
Phone (754) 971-3838
Other names 1
- MD HORIZON HOLDINGS, LLC
National Provider Directory
National Provider DirectoryLocations
1698 W Hibiscus Blvd
Melbourne, FL 32901
Phone (321) 676-3200
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Melbourne, FL
- NPI 1356607857
-
- Family Nurse Practitioner
- Melbourne, FL
- NPI 1043802531
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Melbourne, FL
- NPI 1629120373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1656979200000",
"number": "1407589898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3330 BANKS RD APT 206",
"city": "MARGATE",
"state": "FL",
"postal_code": "330638407",
"telephone_number": "754-971-3838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1698 W HIBISCUS BLVD",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329012639",
"telephone_number": "321-676-3200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MD HORIZON HOLDINGS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-05",
"last_updated": "2022-07-05",
"certification_date": "2022-07-05",
"status": "A",
"authorized_official_last_name": "MONTION",
"authorized_official_first_name": "ANNISE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "754-971-3838"
},
"taxonomies": [
{
"code": "2083P0011X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MD HORIZON HOLDINGS, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.