Provider Demographics
NPI:1740274877
Name:HORN, DON L (MD)
Entity type:Individual
Prefix:DR
First Name:DON
Middle Name:L
Last Name:HORN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 511307
Mailing Address - Street 2:
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33951-1307
Mailing Address - Country:US
Mailing Address - Phone:941-637-2553
Mailing Address - Fax:941-637-2415
Practice Address - Street 1:809 E MARION AVE
Practice Address - Street 2:
Practice Address - City:PUNTA GORDA
Practice Address - State:FL
Practice Address - Zip Code:33950-3819
Practice Address - Country:US
Practice Address - Phone:941-637-2553
Practice Address - Fax:941-637-2415
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-05
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME12942207ZM0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZM0300XAllopathic & Osteopathic PhysiciansPathologyMedical Microbiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL08046OtherBCBS
FL08046OtherBCBS
FL08046Medicare ID - Type Unspecified