Healthcare Provider Details

I. General information

NPI: 1073610069
Provider Name (Legal Business Name): MERRICK L HORN DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 NORTH MIAMI BEACH BLVD SUITE #401
NORTH MIAMI BEACH FL
33162-3712
US

IV. Provider business mailing address

909 N MIAMI BEACH BLVD STE 401
NORTH MIAMI BEACH FL
33162-3712
US

V. Phone/Fax

Practice location:
  • Phone: 305-949-4189
  • Fax: 305-949-4010
Mailing address:
  • Phone: 305-949-4189
  • Fax: 949-695-3674

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberP00001987
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: