Organization Active NPI

New Dawn Eastern Medicine Inc.

  • Health Maintenance Organization
  • Fort Myers, FL
National Provider Identifier
1174834816
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
AP1324 Issued in FL
Legal business name
NEW DAWN EASTERN MEDICINE INC.
Practice address
16317 S Tamiami TRL
Fort Myers, FL 33908-5326
Phone
(239) 362-0668
NPI assigned
Jun 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Vivian RiceNPI 1407176191
Title
President
Phone
(239) 362-0668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X AP1324 FL Primary

Addresses

Primary practice location

16317 S Tamiami TRL
Fort Myers, FL 33908-5326

Mailing address

8200 Matanzas Rd
Fort Myers, FL 33967-3477

National Provider Directory

National Provider Directory

Locations

16317 S Tamiami Trl
Fort Myers, FL 33908
Phone (239) 362-0668

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1174834816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 MATANZAS RD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339673477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16317 S TAMIAMI TRL",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339085326",
            "telephone_number": "239-362-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DAWN EASTERN MEDICINE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-28",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-362-0668"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "AP1324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.