Healthcare Provider Details

I. General information

NPI: 1578430716
Provider Name (Legal Business Name): FREDDI ALEXA NEWMAN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/22/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 W SAMPLE RD STE 320
DEERFIELD BEACH FL
33064-1346
US

IV. Provider business mailing address

2001 W SAMPLE RD STE 320
DEERFIELD BEACH FL
33064-1346
US

V. Phone/Fax

Practice location:
  • Phone: 561-322-3588
  • Fax: 754-812-5993
Mailing address:
  • Phone: 561-322-3588
  • Fax: 754-812-5993

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: