Provider Demographics
NPI:1740265529
Name:NEWMAN, DORIS B (DO)
Entity type:Individual
Prefix:DR
First Name:DORIS
Middle Name:B
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1201 NE 26TH ST STE 109
Mailing Address - Street 2:
Mailing Address - City:WILTON MANORS
Mailing Address - State:FL
Mailing Address - Zip Code:33305-1206
Mailing Address - Country:US
Mailing Address - Phone:954-381-7334
Mailing Address - Fax:888-809-1631
Practice Address - Street 1:1201 NE 26TH ST STE 109
Practice Address - Street 2:
Practice Address - City:WILTON MANORS
Practice Address - State:FL
Practice Address - Zip Code:33305-1206
Practice Address - Country:US
Practice Address - Phone:954-381-7334
Practice Address - Fax:888-809-1631
Is Sole Proprietor?:No
Enumeration Date:2005-12-14
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME1675204D00000X
FLOS10904204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME329510099Medicaid
NH30224294Medicaid
ME329510099Medicaid
NH30224294Medicaid