Provider Demographics
NPI:1174166276
Name:HOROWITZ, VICTORIA (APRN, FNP B-C)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:HOROWITZ
Suffix:
Gender:F
Credentials:APRN, FNP B-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:371 SW 21ST RD
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33129-1329
Mailing Address - Country:US
Mailing Address - Phone:305-562-3369
Mailing Address - Fax:
Practice Address - Street 1:371 SW 21ST RD
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33129-1329
Practice Address - Country:US
Practice Address - Phone:305-562-3369
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-21
Last Update Date:2019-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11004417363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL11004417OtherAPRN, FNP B-C