Provider Demographics
NPI:1215515184
Name:HORTA, ANEITER (APRN)
Entity type:Individual
Prefix:MRS
First Name:ANEITER
Middle Name:
Last Name:HORTA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15610 SW 46TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33185-4289
Mailing Address - Country:US
Mailing Address - Phone:786-395-0559
Mailing Address - Fax:786-523-7510
Practice Address - Street 1:15610 SW 46TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33185-4289
Practice Address - Country:US
Practice Address - Phone:786-395-0559
Practice Address - Fax:786-523-7510
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-31
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11010870363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily