Provider Demographics
NPI:1225998859
Name:HORICETTE, DAFNY
Entity type:Individual
Prefix:
First Name:DAFNY
Middle Name:
Last Name:HORICETTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19632 TIMBERBLUFF DR
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34638-2590
Mailing Address - Country:US
Mailing Address - Phone:813-738-7501
Mailing Address - Fax:813-738-7501
Practice Address - Street 1:19632 TIMBERBLUFF DR
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34638-2590
Practice Address - Country:US
Practice Address - Phone:813-738-7501
Practice Address - Fax:813-738-7501
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-15
Last Update Date:2025-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty