Organization
NEW LIFE HEALTH CARE GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CELAIDA RUIZ (PRESIDENT)
(954) 670-1170
Entity
Organization
Contact information
Practice address
7800 N UNIVERSITY DR, SUITES 101 - 102, TAMARAC, FL 33321-2128
(954) 670-1170
(954) 670-1171
Mailing address
7800 N UNIVERSITY DR, SUITES 101 - 102, TAMARAC, FL 33321-2128
(954) 670-1170
(954) 670-1171
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
FL
261QA0600X
Adult Day Care Clinic/Center
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59551
HEALTH SUN HMO PROVIDER
FL
Enumeration date
07/31/2012
Last updated
07/31/2012
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