Provider Demographics
NPI:1033199971
Name:NEWMAN, LOUIS M (DPM)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:M
Last Name:NEWMAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:DR
Other - First Name:LOUIS
Other - Middle Name:M
Other - Last Name:NEWMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPM
Mailing Address - Street 1:1740 SW 135TH WAY
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-3464
Mailing Address - Country:US
Mailing Address - Phone:654-561-2778
Mailing Address - Fax:954-885-5370
Practice Address - Street 1:512 WEST OAKLAND PARK BLVD
Practice Address - Street 2:
Practice Address - City:WILTON MANORS
Practice Address - State:FL
Practice Address - Zip Code:33311-1726
Practice Address - Country:US
Practice Address - Phone:
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-18
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2372213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL390146700Medicaid
U46191Medicare UPIN
65314Medicare ID - Type Unspecified