Provider Demographics
NPI:1336943752
Name:HORNE, DAHLIA MIKAELA
Entity type:Individual
Prefix:
First Name:DAHLIA
Middle Name:MIKAELA
Last Name:HORNE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6531 BISHOFF RD
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33413-1017
Mailing Address - Country:US
Mailing Address - Phone:561-856-2511
Mailing Address - Fax:
Practice Address - Street 1:6531 BISHOFF RD
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33413-1017
Practice Address - Country:US
Practice Address - Phone:561-856-2511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLF02250534363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily