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Organization
NEW AGE MEDICAL CENTER
Active
Organization
NEW AGE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORIS CARMEN CIFUENTES M.D. (VICE-PRESIDENT)
(352) 596-9095
Entity
Organization
Contact information
Practice address
12142 CORTEZ BLVD, BROOKSVILLE, FL 34613
(352) 596-9095
(352) 596-9271
Mailing address
12142 CORTEZ BLVD, BROOKSVILLE, FL 34613
(352) 596-9095
(352) 596-9271
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
09/27/2007
Last updated
07/20/2010
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