Provider Demographics
NPI:1891893236
Name:HOROWITZ, JAY (CRNA)
Entity Type:Individual
Prefix:MR
First Name:JAY
Middle Name:
Last Name:HOROWITZ
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:521 CUMMINGS ST
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34242-1308
Mailing Address - Country:US
Mailing Address - Phone:941-350-6118
Mailing Address - Fax:941-312-0300
Practice Address - Street 1:4211 US HIGHWAY 27 N
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-1917
Practice Address - Country:US
Practice Address - Phone:863-385-1544
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN2699782367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG2156OtherFLORIDA BLUE CROSS
FLG2156OtherFLORIDA BLUE CROSS