Organization
NEW AGE HEALING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUSEBIO MANUEL AQUINO (PRESIDENT)
(813) 830-8193
Entity
Organization
Contact information
Practice address
8408 WILSKY BLVD, TAMPA, FL 33615-1515
(813) 374-5887
(813) 374-6225
Mailing address
8408 WILSKY BLVD, TAMPA, FL 33615-1515
(813) 374-5887
(813) 374-6225
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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