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NPI Code Detail

MEDICARE: AMY HORAN RN

MEDICARE: AMY HORAN RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN954459FL

General Provider Information

NPI Number : 1114889664
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY HORAN RN
Provider Business Mailing Address
First Line : 900 NW 31ST AVE STE 2000
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33311-6653
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 325 SW 28TH ST
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33315-2612
Country : US
Telephone Number : 954-357-4880
Fax Number : 954-357-6533
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2025
Last Update Date : 12/02/2025

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Directions to “ AMY HORAN RN” Practice Location

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