Organization
NEW LIFE MEDICAL RESEARCH CENTER INC
Active
Organization
NEW LIFE MEDICAL RESEARCH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REYMUNDO SILVA APRN (AUTHORIZED OFFICIAL)
(786) 508-3521
Entity
Organization
Contact information
Practice address
3750 W 16TH AVE STE 226U, HIALEAH, FL 33012-4648
(786) 360-3750
Mailing address
3750 W 16TH AVE STE 226U, HIALEAH, FL 33012-4648
(786) 360-3750
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11007600
LICENSE
FL
Enumeration date
12/22/2020
Last updated
12/22/2020
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