Provider Demographics
NPI:1972542256
Name:HORNSTEIN, MICHELE I (DO)
Entity type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:I
Last Name:HORNSTEIN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9401 SW HIGHWAY 200 STE 6001
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34481-9654
Mailing Address - Country:US
Mailing Address - Phone:352-291-1300
Mailing Address - Fax:352-291-1323
Practice Address - Street 1:9401 SW HIGHWAY 200 STE 6001
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34481
Practice Address - Country:US
Practice Address - Phone:352-291-1300
Practice Address - Fax:352-291-1323
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS7237207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLOS7237OtherMEDICAL LICENSE
FLBH5922681OtherDEA
FLG93353Medicare UPIN
FL46806XMedicare PIN