Provider Demographics
NPI:1720227184
Name:NEW HORIZONS WELLNESS CENTERS
Entity Type:Organization
Organization Name:NEW HORIZONS WELLNESS CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HUMBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:GUTIERREZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:407-208-1384
Mailing Address - Street 1:150 S SEMORAN BLVD
Mailing Address - Street 2:STE 150
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32807-3293
Mailing Address - Country:US
Mailing Address - Phone:407-208-1384
Mailing Address - Fax:407-208-1385
Practice Address - Street 1:150 S SEMORAN BLVD
Practice Address - Street 2:STE 150
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32807-3293
Practice Address - Country:US
Practice Address - Phone:407-208-1384
Practice Address - Fax:407-208-1385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-09
Last Update Date:2009-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy