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Organization

NEW LIFE POLYCLINICS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARIA TERESA COLUMBIE (PRESIDENT)
(305) 884-8880
Entity
Organization

Contact information

Practice address
61 HOOK SQ, MIAMI SPRINGS, FL 33166-4401
(305) 884-8880
(305) 884-7740
Mailing address
61 HOOK SQ, MIAMI SPRINGS, FL 33166-4401
(305) 884-8880
(305) 884-7740

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
HCC7720
FL
305S00000X
Point of Service

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
277418600
FL
Enumeration date
12/28/2006
Last updated
08/19/2008
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