Provider Demographics
NPI:1134131147
Name:NEWSOME, WILLIAM EARL (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:EARL
Last Name:NEWSOME
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4320 W VINE ST
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34746-6313
Mailing Address - Country:US
Mailing Address - Phone:407-206-3326
Mailing Address - Fax:407-206-3316
Practice Address - Street 1:4806 N ORANGE BLOSSOM TRL
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32810-1605
Practice Address - Country:US
Practice Address - Phone:407-206-3326
Practice Address - Fax:407-206-3316
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2016-08-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME0071545207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine