Healthcare Provider Details

I. General information

NPI: 1235719790
Provider Name (Legal Business Name): FLORIDA NEW VISION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2021
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

730 NW 107TH AVE STE 110
MIAMI FL
33172-3104
US

IV. Provider business mailing address

730 NW 107TH AVE STE 110
MIAMI FL
33172-3104
US

V. Phone/Fax

Practice location:
  • Phone: 786-636-1402
  • Fax: 786-636-1403
Mailing address:
  • Phone: 786-636-1402
  • Fax: 786-636-1403

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name: ARIANE MORALES MORALES
Title or Position: OFFICER
Credential:
Phone: 786-636-1402