# NEW HORIZONS: WOMEN'S MEDICAL GROUP, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114910924
- **Authorized official:** MS. DEBBIE WILLIS (BUSINESS ADMINISTRATOR)
- **Authorized official phone:** (904) 281-0780

## Contact information

- **Practice address:** 802 PORT WINE LN, JACKSONVILLE, FL 32225-5230
- **Practice address phone:** (904) 220-3725
- **Mailing address:** 3901 UNIVERSITY BLVD S, SUITE 215, JACKSONVILLE, FL 32216-4377
- **Mailing address phone:** (904) 296-3200
- **Mailing address fax:** (904) 296-0069

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/26/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 45591 | BCBS | FL |