Provider Demographics
NPI:1184975997
Name:NEWPHASE CLINICAL TRIALS, INC
Entity type:Organization
Organization Name:NEWPHASE CLINICAL TRIALS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LOURDES
Authorized Official - Middle Name:R
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:RCVT,CCRC
Authorized Official - Phone:305-858-4300
Mailing Address - Street 1:333 W 41ST ST
Mailing Address - Street 2:SUITE 410
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-3641
Mailing Address - Country:US
Mailing Address - Phone:305-858-4300
Mailing Address - Fax:305-858-4375
Practice Address - Street 1:333 W 41ST ST
Practice Address - Street 2:SUITE 410
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-3641
Practice Address - Country:US
Practice Address - Phone:305-858-4300
Practice Address - Fax:305-858-4375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-20
Last Update Date:2012-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty