Healthcare Provider Details
I. General information
NPI: 1326364019
Provider Name (Legal Business Name): NEW HOPE & WELLNESS, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/20/2010
Last Update Date: 04/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2750 ENTERPRISE RD
ORANGE CITY FL
32763-8316
US
IV. Provider business mailing address
1403 MEDICAL PLAZA DR SUITE #100
SANFORD FL
32771-1000
US
V. Phone/Fax
- Phone: 407-302-3444
- Fax: 407-302-0345
- Phone: 407-302-3444
- Fax: 407-302-0345
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084A0401X |
| Taxonomy | Addiction Medicine (Psychiatry & Neurology) Physician |
| License Number | OS6229 |
| License Number State | FL |
VIII. Authorized Official
Name:
NEIL
M
STRINGER
Title or Position: PRESIDENT
Credential: PHD
Phone: 407-302-3444