MEDICARE: NEW WORLD MEDICAL CHOICE 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	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1356575955
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW WORLD MEDICAL CHOICE INC

Provider Business Mailing Address
First Line	:	2036 SW 1ST ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33135-1603
Country	:	US
Telephone Number	:	305-541-0997
Fax Number	:	305-631-1971

Provider Business Practice Location Address
First Line	:	2036 SW 1ST STREET
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33135-1603
Country	:	US
Telephone Number	:	305-541-0997
Fax Number	:	305-631-1971

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARIA D GONZALEZ
Credential	:
Telephone Number	:	305-541-0997

Provider Enumeration Date	:	05/11/2009
Last Update Date	:	06/26/2009

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Directions to “NEW WORLD MEDICAL CHOICE INC ” Practice Location

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