Provider Demographics
NPI:1124267422
Name:NEW EGE GROUP, INC.
Entity type:Organization
Organization Name:NEW EGE GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SANDOR
Authorized Official - Middle Name:
Authorized Official - Last Name:SUAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-314-1737
Mailing Address - Street 1:6001 NW 153RD ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2419
Mailing Address - Country:US
Mailing Address - Phone:786-314-1737
Mailing Address - Fax:305-675-0110
Practice Address - Street 1:6001 NW 153RD ST
Practice Address - Street 2:SUITE E
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2419
Practice Address - Country:US
Practice Address - Phone:786-314-1737
Practice Address - Fax:305-675-0110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-10
Last Update Date:2009-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0200XChiropractic ProvidersChiropractorRadiologyGroup - Single Specialty