Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 2372 | FL |
Y | 222Z00000X | Podiatrist | 2372 | FL |
NPI | 1033199971 |
---|---|
Provider Name | Dr. Louis M Newman |
First Address | Miramar, FL 33027-3464 |
Second Address | Wilton Manors, FL 33311-1726 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2006 |
Last Update Date | 04/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
390146700 | (05) | FL |
U46191 | (02) |