Provider Demographics
NPI:1740442599
Name:NEWMAN, SHERIKA SURATA (DO)
Entity type:Individual
Prefix:DR
First Name:SHERIKA
Middle Name:SURATA
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4700 MILLENIA BLVD STE 650
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32839-6013
Mailing Address - Country:US
Mailing Address - Phone:470-754-6360
Mailing Address - Fax:877-780-7359
Practice Address - Street 1:6085 OLD NATIONAL HWY STE G
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30349-4333
Practice Address - Country:US
Practice Address - Phone:470-754-6360
Practice Address - Fax:877-780-7359
Is Sole Proprietor?:No
Enumeration Date:2008-07-01
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA71125207Q00000X
GA071125207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001156200Medicaid
FL001156200Medicaid