MEDICARE: BRACHA HOROWITZ

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	235Z00000X	Speech-Language Pathologist	14048	FL
2	235Z00000X	Speech-Language Pathologist	SZ6492	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760810618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRACHA HOROWITZ

Provider Business Mailing Address
First Line	:	816 W 40TH ST
Second Line	:	APT. 1
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-3839
Country	:	US
Telephone Number	:	917-613-4407
Fax Number	:

Provider Business Practice Location Address
First Line	:	1210 NE 173RD ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33162-1233
Country	:	US
Telephone Number	:	305-343-0322
Fax Number	:

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

Provider Enumeration Date	:	10/30/2013
Last Update Date	:	08/31/2015

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Directions to “ BRACHA HOROWITZ ” Practice Location

Language	Start Address	Practice Location

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