| Organization Name: | MIAMI HORIZON CORP. |
| NPI Number: | 1043251994 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JESUS GAZQUEZ (PRESIDENT) |
| Mailing Address: | 11025 Sw 84th Street Cottage - 12 Miami |
| State: | FL US |
| Postal Code: | 331733856 |
| Phone Number: | 7865348080 |
| Fax Number: | 7866050869 |
| NPI Enumeration Date: | 06/10/2006 |
| NPI Last Update Date: | 09/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME 39744 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |