MEDICARE: NEWLIFE HEALTHCARE & WELLNESS

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	111N00000X	Chiropractor	CH6297	FL

General Provider Information

NPI Number	:	1821415266
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEWLIFE HEALTHCARE & WELLNESS

Provider Business Mailing Address
First Line	:	14750 NW 77 COURT SUITE 106
Second Line	:
City	:	MIAMI LAKES
State	:	FL
Zip	:	33016
Country	:	US
Telephone Number	:	305-698-4000
Fax Number	:	305-698-4014

Provider Business Practice Location Address
First Line	:	14750 NW 77TH CT STE 106
Second Line	:
City	:	MIAMI LAKES
State	:	FL
Zip	:	33016-1507
Country	:	US
Telephone Number	:	305-698-4000
Fax Number	:	305-698-4014

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. AMY HUGHES
Credential	:
Telephone Number	:	305-698-4000

Provider Enumeration Date	:	03/24/2014
Last Update Date	:	05/20/2015

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Directions to “NEWLIFE HEALTHCARE & WELLNESS ” Practice Location

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