New Age Healing Center, Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

NEW AGE HEALING CENTER, INC.

Practice address

8408 Wilsky Blvd
Tampa, FL 33615-1515

Phone

(813) 374-5887

Fax

(813) 374-6225

NPI assigned

Nov 28, 2016

Organization subpart

No

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

Authorized official

Name

Eusebio Manuel Aquino

Title

President

Phone

(813) 830-8193

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480291200000",
    "number": "1710420682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8408 WILSKY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336151515",
            "telephone_number": "813-374-5887",
            "fax_number": "813-374-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8408 WILSKY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336151515",
            "telephone_number": "813-374-5887",
            "fax_number": "813-374-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW AGE HEALING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-28",
        "last_updated": "2016-11-28",
        "status": "A",
        "authorized_official_last_name": "AQUINO",
        "authorized_official_first_name": "EUSEBIO",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-830-8193"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.