Provider Demographics
NPI:1619920337
Name:NEWTON, ALICE M (AP)
Entity Type:Individual
Prefix:MS
First Name:ALICE
Middle Name:M
Last Name:NEWTON
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 571
Mailing Address - Street 2:
Mailing Address - City:OSPREY
Mailing Address - State:FL
Mailing Address - Zip Code:34229-0571
Mailing Address - Country:US
Mailing Address - Phone:941-400-9607
Mailing Address - Fax:
Practice Address - Street 1:7053 S TAMIAMI TRL
Practice Address - Street 2:SUITE F
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-5559
Practice Address - Country:US
Practice Address - Phone:941-400-9607
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP1978171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist