Provider Demographics
NPI:1528119930
Name:NEW HORIZONS WOMENS HEALTH
Entity type:Organization
Organization Name:NEW HORIZONS WOMENS HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MAHNEE
Authorized Official - Middle Name:L
Authorized Official - Last Name:DINSMORE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-245-8280
Mailing Address - Street 1:13685 DOCTORS WAY
Mailing Address - Street 2:SUITE 170
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33912-4336
Mailing Address - Country:US
Mailing Address - Phone:239-245-8280
Mailing Address - Fax:239-768-8631
Practice Address - Street 1:13685 DOCTORS WAY
Practice Address - Street 2:SUITE 170
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33912-4336
Practice Address - Country:US
Practice Address - Phone:239-245-8280
Practice Address - Fax:239-768-8631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-13
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME93844174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL274785500Medicaid
FLI45746Medicare UPIN