MEDICARE: NEW HORIZON MEDICAL & HEALTH 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	170100000X	Ph.D. Medical Genetics		FL

General Provider Information

NPI Number	:	1689732208
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW HORIZON MEDICAL & HEALTH CENTER, INC.

Provider Business Mailing Address
First Line	:	4700 N STATE ROAD 7
Second Line	:	SUITE A200
City	:	LAUDERDALE LAKES
State	:	FL
Zip	:	33319-5800
Country	:	US
Telephone Number	:	786-290-9206
Fax Number	:

Provider Business Practice Location Address
First Line	:	4700 N STATE ROAD 7
Second Line	:	SUITE A200
City	:	LAUDERDALE LAKES
State	:	FL
Zip	:	33319-5800
Country	:	US
Telephone Number	:	786-290-9206
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	MANUEL ANTONIO FERNANDEZ
Credential	:	MD
Telephone Number	:	786-290-9206

Provider Enumeration Date	:	12/05/2006
Last Update Date	:	08/22/2020

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