MEDICARE: A NEW WAY FL 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	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
2	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1134956873
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A NEW WAY FL LLC

Provider Business Mailing Address
First Line	:	1280 OLD CONGRESS AVE STE 208
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-6377
Country	:	US
Telephone Number	:	561-294-2235
Fax Number	:

Provider Business Practice Location Address
First Line	:	1280 OLD CONGRESS AVE STE 208
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-6377
Country	:	US
Telephone Number	:	561-294-2235
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	KIMBERLY JACKSON
Credential	:
Telephone Number	:	561-294-2235

Provider Enumeration Date	:	09/17/2024
Last Update Date	:	08/26/2025

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Directions to “A NEW WAY FL LLC ” Practice Location

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