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Organization
NEW LIFE OBSTETRICAL CARE INC
Active
Organization
NEW LIFE OBSTETRICAL CARE INC
Active
Other names
New Life Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUCIANO AUGUSTINE MARTINEZ JR. MD (OWNER PRESIDENT)
(813) 239-9166
Entity
Organization
Contact information
Practice address
400 EAST MARTIN LUTHER KING JR BLVD, SUITE 105, TAMPA, FL 33603
(813) 239-9166
(813) 239-3011
Mailing address
400 EAST MARTIN LUTHER KING JR BLVD, SUITE 105, TAMPA, FL 33603
(813) 239-9166
(813) 239-3011
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME0032863
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042377700
—
FL
05
—
064971600
—
FL
05
—
374439600
—
FL
Enumeration date
05/18/2006
Last updated
05/21/2008
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