Provider Demographics
NPI:1124317185
Name:HOROWITZ, MATHEW (PHARMD)
Entity type:Individual
Prefix:
First Name:MATHEW
Middle Name:
Last Name:HOROWITZ
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8955 LANTANA RD
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-6200
Mailing Address - Country:US
Mailing Address - Phone:561-899-1378
Mailing Address - Fax:561-966-0662
Practice Address - Street 1:8955 LANTANA RD
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467-6200
Practice Address - Country:US
Practice Address - Phone:561-899-1378
Practice Address - Fax:561-966-0662
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-30
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS40276183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist