Provider Demographics
NPI:1740327667
Name:NEWMAN, ALAN DAVID (DC)
Entity type:Individual
Prefix:MR
First Name:ALAN
Middle Name:DAVID
Last Name:NEWMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7153 HIAWASSEE OVERLOOK DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-1700
Mailing Address - Country:US
Mailing Address - Phone:321-663-5677
Mailing Address - Fax:407-677-5677
Practice Address - Street 1:1107 W NORTH BLVD
Practice Address - Street 2:STE. 23
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748-3960
Practice Address - Country:US
Practice Address - Phone:352-787-4500
Practice Address - Fax:352-787-8955
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0005771111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL051041600Medicaid
FLT54847Medicare UPIN
FL051041600Medicaid