Newage Sa Corp

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

NEWAGE SA CORP

Practice address

2223 SW 13TH Ave
# 300
Miami, FL 33145-3920

Phone

(305) 418-7555

NPI assigned

Jan 24, 2009

Organization subpart

No

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

Authorized official

Name

David Pridgeon

Title

President

Phone

(305) 418-7555

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1232755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232755200000",
    "number": "1700024049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2223 SW 13TH AVE",
            "address_2": "# 300",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331453920",
            "telephone_number": "305-418-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 SW 13TH AVE",
            "address_2": "# 300",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331453920",
            "telephone_number": "305-418-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWAGE SA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-24",
        "last_updated": "2009-01-24",
        "status": "A",
        "authorized_official_last_name": "PRIDGEON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-418-7555"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Miami, FL
• Providers in Miami, FL by specialty
• Preferred Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2009; 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.