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Individual

JEFFREY LEE HORSTMYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
3661 S MIAMI AVE, SUITE 209, MIAMI, FL 33133-4236
(305) 856-8942
(305) 856-0432
Mailing address
3661 S MIAMI AVE, SUITE 209, MIAMI, FL 33133-4236
(305) 856-8942
(305) 856-0432

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME60311
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14410T
MEDICARE PTAN
FL
Enumeration date
07/14/2006
Last updated
04/17/2020
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