Individual
NATHAN ALAN HORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1824 KING ST, SUITE 200, JACKSONVILLE, FL 32204-4735
(904) 421-5586
Mailing address
1824 KING ST, SUITE 200, JACKSONVILLE, FL 32204-4735
(904) 421-5586
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9105272
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001629800
—
FL
05
—
182060470A
—
GA
01
—
P00798360
MEDICARE RAILROAD
—
Enumeration date
11/04/2009
Last updated
05/31/2013
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