Individual
MICHAEL A. HORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
352 CLEARWATER DR, PONTE VEDRA BEACH, FL 32082-4169
(904) 403-1667
(904) 280-0051
Mailing address
352 CLEARWATER DR, PONTE VEDRA BEACH, FL 32082-4169
(904) 403-1667
(904) 280-0051
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9164272
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304294400
—
FL
Enumeration date
03/10/2006
Last updated
05/13/2011
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