Healthcare Provider Details

I. General information

NPI: 1134391089
Provider Name (Legal Business Name): JULIE L HOROWITZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2008
Last Update Date: 06/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1611 NW 12TH AVE
MIAMI FL
33136-1005
US

IV. Provider business mailing address

414 SW 11TH ST
FORT LAUDERDALE FL
33315-1233
US

V. Phone/Fax

Practice location:
  • Phone: 305-585-5215
  • Fax:
Mailing address:
  • Phone: 561-716-3326
  • Fax: 561-278-5390

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME112209
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: