Provider Demographics
NPI:1063665453
Name:NEW ALTERNATIVES M.C, INC
Entity Type:Organization
Organization Name:NEW ALTERNATIVES M.C, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FURMAM
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:305-651-3559
Mailing Address - Street 1:20401 NW 2ND AVE
Mailing Address - Street 2:STE 106
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33169-2542
Mailing Address - Country:US
Mailing Address - Phone:305-651-3559
Mailing Address - Fax:305-651-3560
Practice Address - Street 1:20401 NW 2ND AVE
Practice Address - Street 2:STE 106
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33169-2542
Practice Address - Country:US
Practice Address - Phone:305-651-3559
Practice Address - Fax:305-651-3560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-29
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL058703207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLH93374Medicare UPIN