Healthcare Provider Details

I. General information

NPI: 1154305571
Provider Name (Legal Business Name): FRANCIS JOHN HORNICEK JR. MD PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2005
Last Update Date: 05/04/2021
Certification Date: 05/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1475 NW 12TH AVE FL 3
MIAMI FL
33136-1002
US

IV. Provider business mailing address

1120 NW 14TH ST STE 1263Z
MIAMI FL
33136-2107
US

V. Phone/Fax

Practice location:
  • Phone: 305-243-3208
  • Fax: 305-243-0337
Mailing address:
  • Phone: 305-302-1783
  • Fax: 305-243-0337

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number150718
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberG148755
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME68816
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: