Healthcare Provider Details

I. General information

NPI: 1356486617
Provider Name (Legal Business Name): NEW HORIZONS C.M.H.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1469 N.W. 36 STREET
MIAMI FL
33142
US

IV. Provider business mailing address

1469 N.W. 36 STREET
MIAMI FL
33142
US

V. Phone/Fax

Practice location:
  • Phone: 305-635-7444
  • Fax: 305-637-0459
Mailing address:
  • Phone: 305-635-7444
  • Fax: 305-637-0459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number StateFL

VIII. Authorized Official

Name: DR. LUVERNICE CROSKEY
Title or Position: C.E.O
Credential: PH.D.
Phone: 305-635-0366