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Organization
EARL HOROWITZ DPM PA
Active
Organization
EARL HOROWITZ DPM PA
Active
Other names
EARL R HOROWITZ DPM
Organization subpart
No
Provider details
NPI number
Authorized official
EARL R HOROWITZ D.P.M. (PRESIDENT/DIRECTOR)
(904) 387-0433
Entity
Organization
Contact information
Practice address
2236 PARK ST, JACKSONVILLE, FL 32204-4316
(904) 387-0433
(904) 387-3668
Mailing address
2236 PARK ST, JACKSONVILLE, FL 32204-4316
(904) 387-0433
(904) 387-3668
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
PO0000298
FL
213E00000X
Podiatrist
Primary
PO298
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041210400
—
FL
01
—
1427050194
NPI INDIVIDUAL
FL
01
—
BPU9T
BCBS FL
FL
Enumeration date
02/19/2008
Last updated
04/01/2019
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