MEDICARE: DR. PAULA ANNE NEWMARK D.C.

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
1	111N00000X	Chiropractor	CH-0007420	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215935390
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAULA ANNE NEWMARK D.C.

Provider Business Mailing Address
First Line	:	1094 MILITARY TRL
Second Line	:
City	:	JUPITER
State	:	FL
Zip	:	33458-7021
Country	:	US
Telephone Number	:	561-626-9200
Fax Number	:	561-626-9238

Provider Business Practice Location Address
First Line	:	13901 US HIGHWAY
Second Line	:	SUITE 5
City	:	JUNO BEACH
State	:	FL
Zip	:	33408
Country	:	US
Telephone Number	:	561-626-9200
Fax Number	:	561-626-9238

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	12/22/2017

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