Organization

Initium Novum Llc

Public Health & General Preventive Medicine Physician in Miami, FL(View on Map)

Legal Business Name

Initium Novum Llc

NPI Number

1346809290

NPI Type

Organization

Enumeration Date

06/12/2019

Contact
Information

Purpose

Mailing
Location

Address

1657 N MIAMI AVE APT 515
1657 N MIAMI AVE APT 515

City

Miami
Miami

State

FL
FL

Postal Code

33136-2010
33136-2010

Country

US
US

Telephone Number

(310) 367-7517
(310) 367-7517

Authorized Official

Name

Terrence Bailey

Title or Position

DIRECTOR OF HUMAN PERFORMANCE

Telephone Number

(310) 367-7517

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/12/2019

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