Provider Demographics
NPI:1659379063
Name:NEWMARK, EMANUEL (MD)
Entity Type:Individual
Prefix:DR
First Name:EMANUEL
Middle Name:
Last Name:NEWMARK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7305 N MILITARY TRL
Mailing Address - Street 2:WPB VETERANS MEDICAL CENTER EYE CLINIC
Mailing Address - City:RIVIERA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33410-7417
Mailing Address - Country:US
Mailing Address - Phone:561-422-8690
Mailing Address - Fax:561-969-3269
Practice Address - Street 1:7305 N MILITARY TRL
Practice Address - Street 2:WPB VETERANS MEDICAL CENTER EYE CLINIC
Practice Address - City:RIVIERA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33410-7417
Practice Address - Country:US
Practice Address - Phone:561-422-8690
Practice Address - Fax:561-969-3269
Is Sole Proprietor?:No
Enumeration Date:2005-07-09
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME 13366207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL051518300Medicaid
ME13366OtherLIC
ME13366OtherLIC
D50220Medicare UPIN
FL051518300Medicaid