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NEW LIFE OBSTETRICAL CARE INC NPI 1962455097


NPI Information

NPI: 1962455097
Provider Name: NEW LIFE OBSTETRICAL CARE INC

Doing Business As: NEW LIFE CENTER

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
400 EAST MARTIN LUTHER KING JR BLVD
SUITE 105
TAMPA, FL
ZIP 33603
Phone: (813) 239-9166
Get Directions

NEW LIFE OBSTETRICAL CARE INC is an obstetrics gynecology in Tampa, FL. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. NEW LIFE OBSTETRICAL CARE INC NPI is 1962455097. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As New Life Center.

The provider's business location address is:

400 EAST MARTIN LUTHER KING JR BLVD
SUITE 105
TAMPA, FL
ZIP 33603
Phone: (813) 239-9166
Fax: (813) 239-3011

The provider's authorized official is Luciano Augustine Martinez .
The authorized official title is Owner President and has the following contact phone number (813) 239-9166.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 5/21/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyME0032863FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1064971600MEDICAIDFLORIDA
2374439600MEDICAIDFLORIDA
3042377700MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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