Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | PO0849 | FL |
NPI | 1174712590 |
---|---|
Provider Name | Sam M Horowitz |
First Address | Hialeah, FL 33014 |
Second Address | Hialeah, FL 33014 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/10/2007 |
Last Update Date | 21/11/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
029763100 | (05) | FL |
87334X | MEDICARE (01) | FL |
T55424 | (02) | FL |