Healthcare Provider Details

I. General information

NPI: 1467669952
Provider Name (Legal Business Name): NEW HORIZON MEDICAL & DIAGNOSTIC CENTER CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2007
Last Update Date: 05/03/2023
Certification Date: 05/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8366 SW 8TH ST
MIAMI FL
33144-4180
US

IV. Provider business mailing address

PO BOX 771893
MIAMI FL
33177-0032
US

V. Phone/Fax

Practice location:
  • Phone: 305-456-9035
  • Fax: 305-456-7729
Mailing address:
  • Phone: 305-456-9035
  • Fax: 305-456-7729

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: NORMA CUTINO
Title or Position: ADMINISTRATOR
Credential:
Phone: 305-456-9035