Provider Demographics
NPI:1225131329
Name:NEWMAN, DONALD D (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:D
Last Name:NEWMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3434 HANCOCK BR PKWY
Mailing Address - Street 2:
Mailing Address - City:N FT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33903-7094
Mailing Address - Country:US
Mailing Address - Phone:877-856-3774
Mailing Address - Fax:239-599-2625
Practice Address - Street 1:11181 HEALTH PARK BLVD STE 3000
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-5743
Practice Address - Country:US
Practice Address - Phone:239-430-5550
Practice Address - Fax:239-430-5559
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2013-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00006951207Q00000X
FLME101031207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009933789Medicaid
FL79311OtherFL BC
AL12842Medicare PIN
FLAM526XMedicare PIN
FL79311OtherFL BC
AL009933789Medicaid
FLAM526ZMedicare PIN