Organization
NEW HORIZONS: WOMEN'S MEDICAL GROUP, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBBIE WILLIS (BUSINESS ADMINISTRATOR)
(904) 281-0780
Entity
Organization
Contact information
Practice address
802 PORT WINE LN, JACKSONVILLE, FL 32225-5230
(904) 220-3725
Mailing address
3901 UNIVERSITY BLVD S, SUITE 215, JACKSONVILLE, FL 32216-4377
(904) 296-3200
(904) 296-0069
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45591
BCBS
FL
Enumeration date
08/26/2005
Last updated
08/22/2020
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