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NPI Code Detail

MEDICARE: NEW DEFINITION HEALTH LLC

MEDICARE: NEW DEFINITION HEALTH 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
12083B0002XObesity Medicine (Preventive Medicine) Physician
2207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1962140251
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW DEFINITION HEALTH LLC
Provider Business Mailing Address
First Line : 1688 MERIDIAN AVE STE 700
Second Line :
City : MIAMI BEACH
State : FL
Zip : 33139-2713
Country : US
Telephone Number : 786-254-1280
Fax Number :
Provider Business Practice Location Address
First Line : 1688 MERIDIAN AVE STE 700
Second Line :
City : MIAMI BEACH
State : FL
Zip : 33139-2713
Country : US
Telephone Number : 786-254-1280
Fax Number :
Authorized Official
Title or Position : OWNER/AUTHORIZED OFFICIAL
Name : HALLEY CHRISTINE FRANCIS
Credential : DO
Telephone Number : 786-254-1280
Provider Enumeration Date : 05/25/2022
Last Update Date : 05/25/2022

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Directions to “NEW DEFINITION HEALTH LLC ” Practice Location

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