Provider Demographics
NPI:1215029962
Name:NEWMAN, MICHAEL PAUL (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:PAUL
Last Name:NEWMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9420 SW 77 AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-7988
Mailing Address - Country:US
Mailing Address - Phone:305-666-1402
Mailing Address - Fax:305-596-2923
Practice Address - Street 1:9420 SW 77 AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-7988
Practice Address - Country:US
Practice Address - Phone:305-666-1402
Practice Address - Fax:305-596-2923
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH2818111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL051061100Medicaid
FL051061100Medicaid
FL882361Medicare ID - Type Unspecified