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NPI Code Detail

MEDICARE: MICHELLE JANICE HORNEDO MD

MEDICARE:   MICHELLE JANICE HORNEDO  MD
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1366191744
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE JANICE HORNEDO MD
Provider Business Mailing Address
First Line : 653-1 W 8TH ST
Second Line : LRC 2ND FLOOR
City : JACKSONVILLE
State : FL
Zip : 32209-6511
Country : US
Telephone Number : 904-244-7514
Fax Number : 904-244-5848
Provider Business Practice Location Address
First Line : 653-1 W 8TH ST
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32209-6511
Country : US
Telephone Number : 904-244-7514
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2022
Last Update Date : 06/02/2026

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Directions to “ MICHELLE JANICE HORNEDO MD” Practice Location

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