Provider Demographics
NPI:1134303761
Name:A NEW DAWN INC.
Entity type:Organization
Organization Name:A NEW DAWN INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:WILSON
Authorized Official - Last Name:LOVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-985-7300
Mailing Address - Street 1:9280 COLLEGE PKWY
Mailing Address - Street 2:SUITE 3
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33919-4848
Mailing Address - Country:US
Mailing Address - Phone:239-985-7300
Mailing Address - Fax:
Practice Address - Street 1:9280 COLLEGE PKWY
Practice Address - Street 2:SUITE 3
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33919-4848
Practice Address - Country:US
Practice Address - Phone:239-985-7300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-18
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLM2549OtherBCBS FL
FL3946960001Medicare NSC