| New Life Medical Institute Inc | |
|
861 Sw 8th St Miami FL 33130-3703 | |
| (305) 300-8315 | |
| Not Available |
| Full Name | New Life Medical Institute Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 861 Sw 8th St, Miami, Florida |
| Authorized Official Name and Position | Ernesto Rodriguez (PRESIDENT) |
| Authorized Official Contact | 3058579800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Life Medical Institute Inc 861 Sw 8th St Miami FL 33130-3703 Ph: (305) 300-8315 | New Life Medical Institute Inc 861 Sw 8th St Miami FL 33130-3703 Ph: (305) 300-8315 |
| NPI Number | 1003488719 |
|---|---|
| Provider Enumeration Date | 07/13/2021 |
| Last Update Date | 07/13/2021 |
| Certification Date | 07/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003488719 | NPI | - | NPPES |
| 014747400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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