Provider Demographics
NPI:1871690867
Name:HORN & HORN PA
Entity Type:Organization
Organization Name:HORN & HORN PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:DR
Authorized Official - First Name:MERRICK
Authorized Official - Middle Name:L
Authorized Official - Last Name:HORN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:305-949-4189
Mailing Address - Street 1:909 NORTH MIAMI BEACH BLVD
Mailing Address - Street 2:SUITE #401
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-3712
Mailing Address - Country:US
Mailing Address - Phone:305-949-4189
Mailing Address - Fax:305-949-4010
Practice Address - Street 1:909 NORTH MIAMI BEACH BLVD
Practice Address - Street 2:SUITE #401
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-3712
Practice Address - Country:US
Practice Address - Phone:305-949-4189
Practice Address - Fax:305-949-4010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLP00001987213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL053750100Medicaid
FL65084Medicare PIN
FL053750100Medicaid
T87851Medicare UPIN