Provider Demographics
NPI:1245407394
Name:NEW WORLD HEALTH CENTERS INC
Entity Type:Organization
Organization Name:NEW WORLD HEALTH CENTERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:DARREN
Authorized Official - Middle Name:O
Authorized Official - Last Name:LOLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-754-8967
Mailing Address - Street 1:6630 BISCAYNE BLVD
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33138-6217
Mailing Address - Country:US
Mailing Address - Phone:305-754-8966
Mailing Address - Fax:
Practice Address - Street 1:6630 BISCAYNE BLVD
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33138-6217
Practice Address - Country:US
Practice Address - Phone:305-754-8966
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-08
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000085500Medicaid
FLCP806AMedicare PIN
FL92208Medicare PIN
FLBD572ZMedicare PIN
FL000085500Medicaid