Horne, Michael A.

Horne, Michael A. is an individual health care provider with primary practice located at 352 Clearwater Dr , Ponte Vedra Beach FL 32082-4169. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Horne, Michael A. can be contacted via phone (904) 403-1667.

Contact Information

Primary practice address
352 Clearwater Dr Ponte Vedra Beach FL 32082-4169
Phone: (904) 403-1667
Fax: (904) 280-0051
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP9164272 Florida

Profile Details

NPI number 1790753226
LBN Legal business name Horne, Michael A.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated May 13th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790753226 NPPES
Florida MEDICAID 304294400

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