Provider Demographics
NPI:1679836282
Name:STEVEN R HORNREICH MD PA
Entity Type:Organization
Organization Name:STEVEN R HORNREICH MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:HORNREICH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-496-0604
Mailing Address - Street 1:21255 FALLS RIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-4872
Mailing Address - Country:US
Mailing Address - Phone:561-496-0604
Mailing Address - Fax:
Practice Address - Street 1:15127 JOG RD
Practice Address - Street 2:SUITE 201
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-1251
Practice Address - Country:US
Practice Address - Phone:561-496-0604
Practice Address - Fax:561-496-0678
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-19
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty