Provider Demographics
NPI:1003957465
Name:HOROWITZ, ALAN LEONARD (DC)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:LEONARD
Last Name:HOROWITZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1614 UMBRELLA TREE DR
Mailing Address - Street 2:
Mailing Address - City:EDGEWATER
Mailing Address - State:FL
Mailing Address - Zip Code:32132
Mailing Address - Country:US
Mailing Address - Phone:386-427-0148
Mailing Address - Fax:386-427-0148
Practice Address - Street 1:612 N RIDGEWOOD AVE
Practice Address - Street 2:SUITE I
Practice Address - City:EDGEWATER
Practice Address - State:FL
Practice Address - Zip Code:32132
Practice Address - Country:US
Practice Address - Phone:386-423-4444
Practice Address - Fax:386-423-4444
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2024-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0002812111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
88210Medicare ID - Type Unspecified