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Michael A. Horne, CRNA

Nurse Anesthetist, Certified Registered in Ponte Vedra Beach, FL. Individual provider (NPI-1).

NPI number1790753226
StatusActive
Last updated in NPPESMay 13, 2011

Details

NPI
1790753226
Entity type
Individual (NPI-1)
Name
Michael A. Horne
Credential
CRNA
Sex
Male
Sole proprietor
No
Enumeration date
Mar 10, 2006
Last updated
May 13, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified RegisteredARNP9164272FLYes

Practice location

352 Clearwater Dr
Ponte Vedra Beach, FL 32082-4169

Phone 904-403-1667 · Fax 904-280-0051

Mailing address

352 Clearwater Dr
Ponte Vedra Beach, FL 32082-4169

Phone 904-403-1667 · Fax 904-280-0051

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