Healthcare Provider Details

I. General information

NPI: 1720227184
Provider Name (Legal Business Name): NEW HORIZONS WELLNESS CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2009
Last Update Date: 02/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 S SEMORAN BLVD STE 150
ORLANDO FL
32807-3293
US

IV. Provider business mailing address

150 S SEMORAN BLVD STE 150
ORLANDO FL
32807-3293
US

V. Phone/Fax

Practice location:
  • Phone: 407-208-1384
  • Fax: 407-208-1385
Mailing address:
  • Phone: 407-208-1384
  • Fax: 407-208-1385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. HUMBERTO GUTIERREZ
Title or Position: OWNER/PRESIDENT
Credential: D.C
Phone: 407-208-1384