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Organization
NEW LIFE MEDICAL CENTER INC
Active
Organization
NEW LIFE MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZABETH C CALVEIRO (PRESIDENT)
(305) 300-0004
Entity
Organization
Contact information
Practice address
10300 SW 72ND ST, SUITE 319, MIAMI, FL 33173-3012
(305) 271-6570
(305) 279-6805
Mailing address
10300 SW 72ND ST, SUITE 319, MIAMI, FL 33173-3012
(305) 271-6570
(305) 279-6805
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
Primary
HCC5621
FL
Other
Enumeration date
01/04/2006
Last updated
09/12/2007
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