Healthcare Provider Details

I. General information

NPI: 1861665192
Provider Name (Legal Business Name): NEW WORLD HEALTH CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2008
Last Update Date: 04/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6630 BISCAYNE BLVD
MIAMI FL
33138-6217
US

IV. Provider business mailing address

6630 BISCAYNE BLVD
MIAMI FL
33138-6217
US

V. Phone/Fax

Practice location:
  • Phone: 305-754-8966
  • Fax: 305-754-4063
Mailing address:
  • Phone: 305-754-8966
  • Fax: 305-754-4063

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License NumberME 80989
License Number StateFL

VIII. Authorized Official

Name: LAURA A ELIZEE
Title or Position: OFFICE ADMINISTRATOR
Credential:
Phone: 305-754-8966