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NPI Code Detail

MEDICARE: MELISSA NEWMAN PT, DPT

MEDICARE: MELISSA NEWMAN PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251P0200XPediatric Physical Therapist27487FL

General Provider Information

NPI Number : 1144570169
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA NEWMAN PT, DPT
Provider Business Mailing Address
First Line : 10200 BELLE RIVE BLVD UNIT 3601
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-9649
Country : US
Telephone Number : 941-286-5955
Fax Number :
Provider Business Practice Location Address
First Line : 14785 OLD SAINT AUGUSTINE RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32258-2496
Country : US
Telephone Number : 904-292-1808
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2012
Last Update Date : 09/17/2012

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Directions to “ MELISSA NEWMAN PT, DPT” Practice Location

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