Provider Demographics
NPI:1720278377
Name:NEW BEGINNINGS HEALTHCARE PA
Entity Type:Organization
Organization Name:NEW BEGINNINGS HEALTHCARE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:PETER
Authorized Official - Last Name:SPUZA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-397-2500
Mailing Address - Street 1:10700 JOHNSON BLVD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:SEMINOLE
Mailing Address - State:FL
Mailing Address - Zip Code:33772-4821
Mailing Address - Country:US
Mailing Address - Phone:727-397-2500
Mailing Address - Fax:727-397-2489
Practice Address - Street 1:10700 JOHNSON BLVD
Practice Address - Street 2:SUITE 3
Practice Address - City:SEMINOLE
Practice Address - State:FL
Practice Address - Zip Code:33772-4821
Practice Address - Country:US
Practice Address - Phone:727-397-2500
Practice Address - Fax:727-397-2489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-30
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL21277OtherBLUE CROSS BLUE SHIELD