# NEW LIFE OBSTETRICAL CARE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** New Life Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962455097
- **Authorized official:** DR. LUCIANO AUGUSTINE MARTINEZ JR. MD (OWNER PRESIDENT)
- **Authorized official phone:** (813) 239-9166

## Contact information

- **Practice address:** 400 EAST MARTIN LUTHER KING JR BLVD, SUITE 105, TAMPA, FL 33603
- **Practice address phone:** (813) 239-9166
- **Practice address fax:** (813) 239-3011
- **Mailing address:** 400 EAST MARTIN LUTHER KING JR BLVD, SUITE 105, TAMPA, FL 33603
- **Mailing address phone:** (813) 239-9166
- **Mailing address fax:** (813) 239-3011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | ME0032863 | FL | Yes |

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 05/21/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 042377700 | — | FL |
| 05 | — | 064971600 | — | FL |
| 05 | — | 374439600 | — | FL |