Provider Demographics
NPI:1902020787
Name:NEWMARK, JOHN DAVID (MS , LMHC)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:DAVID
Last Name:NEWMARK
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Gender:M
Credentials:MS , LMHC
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Mailing Address - Street 1:6710 BULL RUN RD
Mailing Address - Street 2:APT 263
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-8100
Mailing Address - Country:US
Mailing Address - Phone:305-493-1190
Mailing Address - Fax:305-493-1191
Practice Address - Street 1:1041 IVES DAIRY RD
Practice Address - Street 2:BLDG.5 , SUITE 138
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33179-2539
Practice Address - Country:US
Practice Address - Phone:305-493-1190
Practice Address - Fax:305-493-1191
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLMH 7821101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health