Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 1155 | FL |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 1155 | FL |
NPI | 1043358823 |
---|---|
Provider Name | Dr. Mark Abraham Horowitz |
First Address | Delray Beach, FL 33483-3329 |
Second Address | Delray Beach, FL 33483-3329 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2007 |
Last Update Date | 06/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
084869900 | (05) | FL |
T84054 | (02) | FL |