Provider Demographics
NPI:1821347758
Name:HOROWITZ, DAWN MICHELE (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:MICHELE
Last Name:HOROWITZ
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8901 NW 79TH ST
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-1553
Mailing Address - Country:US
Mailing Address - Phone:954-724-8946
Mailing Address - Fax:
Practice Address - Street 1:8901 NW 79TH ST
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-1553
Practice Address - Country:US
Practice Address - Phone:954-724-8946
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-06
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL851242261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care