Healthcare Provider Details

I. General information

NPI: 1679836282
Provider Name (Legal Business Name): STEVEN R HORNREICH MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2012
Last Update Date: 06/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15127 JOG RD SUITE 201
DELRAY BEACH FL
33446-1251
US

IV. Provider business mailing address

21255 FALLS RIDGE WAY
BOCA RATON FL
33428-4872
US

V. Phone/Fax

Practice location:
  • Phone: 561-496-0604
  • Fax: 561-496-0678
Mailing address:
  • Phone: 561-496-0604
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: STEVEN R HORNREICH
Title or Position: PRESIDENT
Credential: MD
Phone: 561-496-0604