MEDICARE: NEW WORLD MEDICAL & THERAPY CENTER INC

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	305S00000X	Point of Service	ME22082	FL
2	305S00000X	Point of Service
3	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1336526664
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW WORLD MEDICAL & THERAPY CENTER INC

Provider Business Mailing Address
First Line	:	2020 SW 1ST ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33135-1603
Country	:	US
Telephone Number	:	305-541-0109
Fax Number	:	786-657-2804

Provider Business Practice Location Address
First Line	:	2020 SW 1ST ST STE 100
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33135-1603
Country	:	US
Telephone Number	:	305-541-0109
Fax Number	:	786-657-2804

Authorized Official
Title or Position	:	OPERATGIONS
Name	:	ELIZABERTH SERNA
Credential	:
Telephone Number	:	702-468-8934

Provider Enumeration Date	:	05/06/2015
Last Update Date	:	08/05/2024

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