Provider Demographics
NPI:1376238337
Name:NEWKIRK, CASSANDRA FELECIA (MD)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:FELECIA
Last Name:NEWKIRK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22306 MISTY WOODS WAY
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-3838
Mailing Address - Country:US
Mailing Address - Phone:561-289-7458
Mailing Address - Fax:
Practice Address - Street 1:22306 MISTY WOODS WAY
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-3838
Practice Address - Country:US
Practice Address - Phone:561-289-7458
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-06
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME976062084F0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry