Provider Demographics
NPI:1376959353
Name:HORVAT, JAMI
Entity type:Individual
Prefix:
First Name:JAMI
Middle Name:
Last Name:HORVAT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JAMI
Other - Middle Name:
Other - Last Name:BROSIUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100460 OVERSEAS HWY STE 4
Mailing Address - Street 2:
Mailing Address - City:KEY LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33037-2547
Mailing Address - Country:US
Mailing Address - Phone:786-646-2246
Mailing Address - Fax:
Practice Address - Street 1:426 BAHIA HONDA RD
Practice Address - Street 2:
Practice Address - City:KEY LARGO
Practice Address - State:FL
Practice Address - Zip Code:33037-3102
Practice Address - Country:US
Practice Address - Phone:786-444-6246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-10
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2932162261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care