Provider Demographics
NPI:1043587447
Name:NEW HORIZONS 2011, LLC
Entity Type:Organization
Organization Name:NEW HORIZONS 2011, LLC
Other - Org Name:DICOR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:B
Authorized Official - Last Name:SHEARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-777-6851
Mailing Address - Street 1:7 JUDY CT
Mailing Address - Street 2:
Mailing Address - City:SATELLITE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32937-3934
Mailing Address - Country:US
Mailing Address - Phone:321-777-6851
Mailing Address - Fax:
Practice Address - Street 1:7 JUDY CT
Practice Address - Street 2:
Practice Address - City:SATELLITE BEACH
Practice Address - State:FL
Practice Address - Zip Code:32937-3934
Practice Address - Country:US
Practice Address - Phone:321-777-6851
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-30
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi