Provider Demographics
NPI:1770042335
Name:NEW POWER MEDICINE INC.
Entity Type:Organization
Organization Name:NEW POWER MEDICINE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING PRESIDENT/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL LYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:SWEENEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-289-6326
Mailing Address - Street 1:5454 CENTRAL AVE STE C
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33707-6129
Mailing Address - Country:US
Mailing Address - Phone:727-498-8608
Mailing Address - Fax:
Practice Address - Street 1:5454 CENTRAL AVE STE C
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33707-6129
Practice Address - Country:US
Practice Address - Phone:727-498-8608
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-13
Last Update Date:2019-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLOS8713OtherMEDICAL LICENSE