New Age Medical Center

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NEW AGE MEDICAL CENTER

Practice address

12142 Cortez Blvd
Brooksville, FL 34613

Phone

(352) 596-9095

Fax

(352) 596-9271

NPI assigned

Sep 27, 2007

Organization subpart

No

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

Authorized official

Name

Doris Carmen Cifuentes, M.D.

Title

Vice-President

Phone

(352) 596-9095

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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

• David Moreno, M.D

  • Internal Medicine Physician
  • Brooksville, FL
  • NPI 1225045156
  Medicare reassignment NPD
• Carlos A Cardona, APRN

  • Nurse Practitioner
  • St Petersburg, FL
  • NPI 1679395834
  NPD (past)
• Robert L Hartzell Jr., M.D.

  • Family Medicine Physician
  • Brooksville, FL
  • NPI 1154414449
  NPD (past)
• Sandra Viviana Orozco Franco, LMT

  • Massage Therapist
  • Brooksville, FL
  • NPI 1659827814
  NPD (past)

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279584000000",
    "number": "1508053091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12142 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "34613",
            "telephone_number": "352-596-9095",
            "fax_number": "352-596-9271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12142 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "34613",
            "telephone_number": "352-596-9095",
            "fax_number": "352-596-9271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW AGE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2010-07-20",
        "status": "A",
        "authorized_official_last_name": "CIFUENTES",
        "authorized_official_first_name": "DORIS",
        "authorized_official_middle_name": "CARMEN",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "352-596-9095",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ravi Nayak
• Dannia Nelson
• Thelma Teresa Nelson, ARNP
• Neonatology Certified LLC
• Neuro Orthopedic Rehab Associates PLLC
• New Horizons Mental Health LLC
• Alexis Elizabeth Newberry
• Newsom Eye & Laser Center, Inc.
• Bao Hoai Nguyen, PHARMD
• Catherine Nguyen, MD

• Internal Medicine Physician in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.