MEDICARE: MARILYN HORVATH MD PA

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	2084P0805X	Geriatric Psychiatry Physician	ME96932	FL

General Provider Information

NPI Number	:	1992063002
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARILYN HORVATH MD PA

Provider Business Mailing Address
First Line	:	PO BOX 824437
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33082-4437
Country	:	US
Telephone Number	:	786-553-3955
Fax Number	:

Provider Business Practice Location Address
First Line	:	4317 SW 186TH AVE
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33029-2772
Country	:	US
Telephone Number	:	786-553-3955
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MARILYN HORVATH
Credential	:	MD
Telephone Number	:	786-553-3955

Provider Enumeration Date	:	04/26/2012
Last Update Date	:	04/26/2012

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