Healthcare Provider Details

I. General information

NPI: 1477468635
Provider Name (Legal Business Name): NEW BEGINNINGS PEDIATRIC THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4760 NW 167TH ST
MIAMI LAKES FL
33014-6427
US

IV. Provider business mailing address

4760 NW 167TH ST
MIAMI LAKES FL
33014-6427
US

V. Phone/Fax

Practice location:
  • Phone: 786-413-8404
  • Fax: 305-952-4383
Mailing address:
  • Phone: 786-413-8404
  • Fax: 305-952-4383

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ARMANDO MATECH
Title or Position: OWNER
Credential:
Phone: 786-413-8404