Individual
DWAYNE HORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4423 BEAGLE ST, ORLANDO, FL 32818-8254
(407) 616-4318
Mailing address
4423 BEAGLE ST, ORLANDO, FL 32818-8254
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/14/2013
Last updated
03/14/2013
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