Basic Information
| Provider Information | |||||||||
| NPI: | 1871894915 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NEW EMPIRE HEALTHCARE INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7557 W SAND LAKE RD | ||||||||
| Address2: | PMB 123 | ||||||||
| City: | ORLANDO | ||||||||
| State: | FL | ||||||||
| PostalCode: | 328195109 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4073522542 | ||||||||
| FaxNumber: | 4073522547 | ||||||||
| Practice Location | |||||||||
| Address1: | 7680 UNIVERSAL BLVD | ||||||||
| Address2: | SUITE 210 | ||||||||
| City: | ORLANDO | ||||||||
| State: | FL | ||||||||
| PostalCode: | 328198900 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4073522542 | ||||||||
| FaxNumber: | 4073522547 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/05/2010 | ||||||||
| LastUpdateDate: | 01/06/2011 | ||||||||
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| AuthorizedOfficialLastName: | AYADI | ||||||||
| AuthorizedOfficialFirstName: | JAUVID | ||||||||
| AuthorizedOfficialMiddleName: | B | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 4073522542 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.