Provider Demographics
NPI:1790041689
Name:HORN, KARL JOSEPH (MD)
Entity Type:Individual
Prefix:
First Name:KARL
Middle Name:JOSEPH
Last Name:HORN
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 1:1401 RIVERPLACE BLVD
Mailing Address - Street 2:APT 2911
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32207-9069
Mailing Address - Country:US
Mailing Address - Phone:803-760-5488
Mailing Address - Fax:
Practice Address - Street 1:1401 RIVERPLACE BLVD
Practice Address - Street 2:APT 2911
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207-9069
Practice Address - Country:US
Practice Address - Phone:803-760-5488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-05
Last Update Date:2015-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME123176207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine