Healthcare Provider Details

I. General information

NPI: 1689732208
Provider Name (Legal Business Name): NEW HORIZON MEDICAL & HEALTH CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 N STATE ROAD 7 SUITE A200
LAUDERDALE LAKES FL
33319-5800
US

IV. Provider business mailing address

4700 N STATE ROAD 7 SUITE A200
LAUDERDALE LAKES FL
33319-5800
US

V. Phone/Fax

Practice location:
  • Phone: 786-290-9206
  • Fax:
Mailing address:
  • Phone: 786-290-9206
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170100000X
TaxonomyPh.D. Medical Genetics
License Number
License Number StateFL

VIII. Authorized Official

Name: MANUEL ANTONIO FERNANDEZ
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 786-290-9206