Provider Demographics
NPI:1891770491
Name:NEWSOM, WILLIAM ANTHONY (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ANTHONY
Last Name:NEWSOM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2521 NW 41ST ST
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-6630
Mailing Address - Country:US
Mailing Address - Phone:352-377-7733
Mailing Address - Fax:352-377-9577
Practice Address - Street 1:2521 NW 41ST ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-6630
Practice Address - Country:US
Practice Address - Phone:352-377-7733
Practice Address - Fax:352-377-9577
Is Sole Proprietor?:No
Enumeration Date:2005-12-07
Last Update Date:2014-01-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME16298207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL01845BMedicare ID - Type UnspecifiedMEDICARE PROVIDER #
FLD50229Medicare UPIN