Provider Demographics
NPI:1326265752
Name:HORKOWITZ, CAROL ANN (DMD)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:ANN
Last Name:HORKOWITZ
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:11050 N KENDALL DR
Mailing Address - Street 2:SUITE 104
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-1236
Mailing Address - Country:US
Mailing Address - Phone:305-670-7767
Mailing Address - Fax:305-670-0024
Practice Address - Street 1:11050 N KENDALL DR
Practice Address - Street 2:SUITE 104
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1236
Practice Address - Country:US
Practice Address - Phone:305-670-7767
Practice Address - Fax:305-670-0024
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2014-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN-121601223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAF578Medicare PIN