Individual
LARRY WAYNE HORTON
Active
Individual
LARRY WAYNE HORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME61926
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370538200
—
FL
01
—
AL246
MEDICARE PTAN
FL
Enumeration date
12/06/2005
Last updated
05/05/2020
Update your record
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