Provider Demographics
NPI:1013752013
Name:HORN, MORGAN XIOMARA (DC)
Entity type:Individual
Prefix:DR
First Name:MORGAN
Middle Name:XIOMARA
Last Name:HORN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 E CHURCH ST APT 1209
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32801-3167
Mailing Address - Country:US
Mailing Address - Phone:727-647-1631
Mailing Address - Fax:
Practice Address - Street 1:171 S ORLANDO AVE STE A
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-5653
Practice Address - Country:US
Practice Address - Phone:689-206-0210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH14480111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor