Organization
NEWAGE SA CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID PRIDGEON (PRESIDENT)
(305) 418-7555
Entity
Organization
Contact information
Practice address
2223 SW 13TH AVE, # 300, MIAMI, FL 33145-3920
(305) 418-7555
Mailing address
2223 SW 13TH AVE, # 300, MIAMI, FL 33145-3920
(305) 418-7555
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
FL
Other
Enumeration date
01/24/2009
Last updated
01/24/2009
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