Organization
NEW LIFE MEDICAL INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE MICHAILOS (PRESIDENT)
(305) 857-9800
Entity
Organization
Contact information
Practice address
861 SW 8TH ST, MIAMI, FL 33130-3703
(305) 857-9800
(305) 857-9802
Mailing address
861 SW 8TH ST, MIAMI, FL 33130-3703
(305) 857-9800
(305) 857-9802
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME28831
FL
207QG0300X
Geriatric Medicine (Family Medicine) Physician
ME51394
FL
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278171900
—
FL
Enumeration date
04/28/2006
Last updated
03/29/2023
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