Individual
DANIELLE HORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
914 MAR WALT DR STE A, FORT WALTON BEACH, FL 32547-6706
(850) 314-7546
(850) 314-7542
Mailing address
12469 EMERALD COAST PKWY W, MIRAMAR BEACH, FL 32550-8305
(850) 654-3376
(850) 654-3320
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9105575
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y06NZ
FLORIDA BLUE
FL
Enumeration date
01/28/2011
Last updated
01/15/2019
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