Provider Demographics
NPI:1407061799
Name:NEWMAN, DAVID P (DC, ACU)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:P
Last Name:NEWMAN
Suffix:
Gender:M
Credentials:DC, ACU
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2470 TRAPP AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-3957
Mailing Address - Country:US
Mailing Address - Phone:305-856-5131
Mailing Address - Fax:305-856-4551
Practice Address - Street 1:2470 TRAPP AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-3957
Practice Address - Country:US
Practice Address - Phone:305-856-5131
Practice Address - Fax:305-856-4551
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH4552111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition