Provider Demographics
NPI:1366722845
Name:NEW HOPE MEDICAL GROUP LLC
Entity type:Organization
Organization Name:NEW HOPE MEDICAL GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AROLD
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:AUGUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-514-7712
Mailing Address - Street 1:4301 W SUNRISE BLVD
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33313-6749
Mailing Address - Country:US
Mailing Address - Phone:954-514-7712
Mailing Address - Fax:954-533-5193
Practice Address - Street 1:4301 W SUNRISE BLVD
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33313-6749
Practice Address - Country:US
Practice Address - Phone:954-514-7712
Practice Address - Fax:954-533-5193
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-28
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME72155207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL261450200Medicaid
FL4239Medicare PIN