Provider Demographics
NPI:1235719790
Name:FLORIDA NEW VISION INC
Entity Type:Organization
Organization Name:FLORIDA NEW VISION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ARIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:MORALES MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-636-1402
Mailing Address - Street 1:730 NW 107TH AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-3104
Mailing Address - Country:US
Mailing Address - Phone:786-636-1402
Mailing Address - Fax:786-636-1403
Practice Address - Street 1:730 NW 107TH AVE STE 110
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172-3104
Practice Address - Country:US
Practice Address - Phone:786-636-1402
Practice Address - Fax:786-636-1403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-09
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health