Provider Demographics
NPI:1033458971
Name:HORACE, MANYSE (ARNP)
Entity Type:Individual
Prefix:
First Name:MANYSE
Middle Name:
Last Name:HORACE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6615 ADRIATIC WAY
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33413-1090
Mailing Address - Country:US
Mailing Address - Phone:561-255-1883
Mailing Address - Fax:
Practice Address - Street 1:6615 ADRIATIC WAY
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33413-1090
Practice Address - Country:US
Practice Address - Phone:561-255-1883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-13
Last Update Date:2013-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9256495363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily