Blue Horizon Professional Group, Inc

LBN: Blue Horizon Professional Group, Inc
Blue Horizon Professional Group, Inc is an health care organization with primary practice located at 1591 Hayley Ln Ste 101 , Fort Myers FL 33907-2121. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as the primary health care specialty. Blue Horizon Professional Group, Inc can be contacted via phone (239) 288-6046, or through Davila, Rolando via phone (239) 288-6046.

Contact Information

Primary practice address
1591 Hayley Ln Ste 101 Fort Myers FL 33907-2121
Phone: (239) 288-6046
Fax: (888) 388-5055
Website:
Map and Directions
Authorized official contact:
Name: Davila, Rolando
Phone: (239) 288-6046

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X

Profile Details

NPI number 1508323684
LBN Legal business name Blue Horizon Professional Group, Inc
DBA Doing business as
Authorized official Davila, Rolando
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2019
Last updated Nov 18th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508323684 NPPES
Florida MEDICAID 1568930915

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