Healthcare Provider Details

I. General information

NPI: 1043165632
Provider Name (Legal Business Name): NEW COUNTRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2026
Last Update Date: 02/28/2026
Certification Date: 02/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8615 COMMODITY CIR STE 17
ORLANDO FL
32819-9072
US

IV. Provider business mailing address

6224 GOLDEN DEWDROP TRL
WINDERMERE FL
34786-5697
US

V. Phone/Fax

Practice location:
  • Phone: 407-707-1815
  • Fax:
Mailing address:
  • Phone: 786-778-1423
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JULIO OMAR ROJAS
Title or Position: AMBR
Credential: MSN, APRN, FNP-C
Phone: 786-778-1423