Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 205825 | NY |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | ME92320 | FL |
NPI | 1528261302 |
---|---|
Provider Name | Dr. Ilana Mara Newman |
First Address | Miami, FL 33131-2003 |
Second Address | Miramar, FL 33025-3946 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2007 |
Last Update Date | 30/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
279421700 | (05) | FL |