Healthcare Provider Details

I. General information

NPI: 1053227215
Provider Name (Legal Business Name): DARIUS DWAYNE HORNE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8200 ROYAL PALM BLVD
CORAL SPRINGS FL
33065-5714
US

IV. Provider business mailing address

3082 NW 30TH PL
OAKLAND PARK FL
33311-8389
US

V. Phone/Fax

Practice location:
  • Phone: 954-341-5977
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number71084
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: