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General NPI Number Information
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NPI Number | 1689732208
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Entity Type | Organization
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Legal Business Name | NEW HORIZON MEDICAL & HEALTH CENTER, INC.
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4700 N STATE ROAD 7 SUITE A200
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33319-5800
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Country | US
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Telephone | 786-290-9206
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Fax |
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Provider Business Mailing Address
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Address Line | 4700 N STATE ROAD 7 SUITE A200
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33319-5800
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Country | US
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Telephone | 786-290-9206
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | MANUEL ANTONIO FERNANDEZ
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Credential | MD
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Telephone | 786-290-9206
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 170100000X
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Taxonomy Name | Ph.D. Medical Genetics
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License Number |
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License Number State | FL
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