Healthcare Provider Details

I. General information

NPI: 1255710604
Provider Name (Legal Business Name): NEW DAY OB GYN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2015
Last Update Date: 01/07/2025
Certification Date: 01/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1951 SW 172ND AVE SUITE 315
MIRAMAR FL
33029-5593
US

IV. Provider business mailing address

1951 SW 172ND AVE SUITE 315
MIRAMAR FL
33029-5593
US

V. Phone/Fax

Practice location:
  • Phone: 954-507-4604
  • Fax: 954-507-4606
Mailing address:
  • Phone: 954-507-4604
  • Fax: 954-507-4606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberME100481
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code261QF0050X
TaxonomyNon-Surgical Family Planning Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ALICIA ACON
Title or Position: MD
Credential: MD
Phone: 954-507-4604