Provider Demographics
NPI:1497797476
Name:HOROWITZ, SUSAN AMY (MD)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:AMY
Last Name:HOROWITZ
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:14275 MIDWAY RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-3614
Mailing Address - Country:US
Mailing Address - Phone:214-932-8029
Mailing Address - Fax:610-271-4245
Practice Address - Street 1:895 SW 30TH AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33069-4887
Practice Address - Country:US
Practice Address - Phone:954-633-9987
Practice Address - Fax:954-633-3217
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2015-06-26
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Provider Licenses
StateLicense IDTaxonomies
FLME49475207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLH85721Medicare UPIN