MEDICARE: NEW HORIZONS MEDICAL OB-GYN CONSULTANTS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician

General Provider Information

NPI Number	:	1093970261
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW HORIZONS MEDICAL OB-GYN CONSULTANTS LLC

Provider Business Mailing Address
First Line	:	3001 W HALLANDALE BEACH BLVD
Second Line	:	200
City	:	HALLANDALE
State	:	FL
Zip	:	33009-5155
Country	:	US
Telephone Number	:	954-456-4888
Fax Number	:	954-456-9722

Provider Business Practice Location Address
First Line	:	3001 W HALLANDALE BEACH BLVD
Second Line	:	200
City	:	HALLANDALE
State	:	FL
Zip	:	33009-5155
Country	:	US
Telephone Number	:	954-456-4888
Fax Number	:	954-456-9722

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. LORETTA ANELLO
Credential	:
Telephone Number	:	954-456-4888

Provider Enumeration Date	:	07/27/2008
Last Update Date	:	07/27/2008

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