MEDICARE: MARK A HOROWITZ

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
1	152W00000X	Optometrist	OPC 1155	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154605210
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARK A HOROWITZ

Provider Business Mailing Address
First Line	:	1715 S FEDERAL HWY
Second Line	:	SUITE C-1
City	:	DELRAY BEACH
State	:	FL
Zip	:	33483-3329
Country	:	US
Telephone Number	:	561-276-5099
Fax Number	:	561-274-9697

Provider Business Practice Location Address
First Line	:	1715 S FEDERAL HWY
Second Line	:	SUITE C-1
City	:	DELRAY BEACH
State	:	FL
Zip	:	33483-3329
Country	:	US
Telephone Number	:	561-276-5099
Fax Number	:	561-274-9697

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MARK A HOROWITZ
Credential	:	D.O.
Telephone Number	:	561-276-5099

Provider Enumeration Date	:	10/06/2011
Last Update Date	:	10/06/2011

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Directions to “MARK A HOROWITZ ” Practice Location

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