Provider Demographics
NPI:1457669038
Name:NEW AMERICAN ENTERPRISES LLC
Entity Type:Organization
Organization Name:NEW AMERICAN ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:GLOVER
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:702-277-7838
Mailing Address - Street 1:5032 CAPITAL CIRCLE SW
Mailing Address - Street 2:SUITE 2#119
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32305
Mailing Address - Country:US
Mailing Address - Phone:702-277-7838
Mailing Address - Fax:
Practice Address - Street 1:5032 CAPITAL CIR SW STE 2
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32305-7886
Practice Address - Country:US
Practice Address - Phone:702-277-7838
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-17
Last Update Date:2010-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies