MEDICARE: MR. EDWARD G HOROWITZ D.C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH9798	FL

General Provider Information

NPI Number	:	1477906626
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. EDWARD G HOROWITZ D.C

Provider Business Mailing Address
First Line	:	1225 N MILITARY TRL STE 6
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-6059
Country	:	US
Telephone Number	:	561-687-5150
Fax Number	:	561-687-5051

Provider Business Practice Location Address
First Line	:	1225 N MILITARY TRL STE 6
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-6059
Country	:	US
Telephone Number	:	561-687-5150
Fax Number	:	561-687-5051

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2016
Last Update Date	:	07/22/2016

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