Provider Demographics
NPI:1568558138
Name:HORLBECK, DREW (MD)
Entity Type:Individual
Prefix:
First Name:DREW
Middle Name:
Last Name:HORLBECK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9711 COMMERCE CENTER CT STE 101
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33908-3817
Mailing Address - Country:US
Mailing Address - Phone:239-939-2621
Mailing Address - Fax:239-939-3875
Practice Address - Street 1:9711 COMMERCE CENTER CT STE 101
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33908-3817
Practice Address - Country:US
Practice Address - Phone:239-939-2621
Practice Address - Fax:239-939-3875
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2018-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME99151207YX0901X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & Neurotology
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery