Healthcare Provider Details

I. General information

NPI: 1477884047
Provider Name (Legal Business Name): NEWFIELD ORTHOPEDICS P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2010
Last Update Date: 07/17/2020
Certification Date: 07/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 JUPITER LAKES BLVD
JUPITER FL
33458-7180
US

IV. Provider business mailing address

103 COCO PLUM DR
MARATHON FL
33050-4016
US

V. Phone/Fax

Practice location:
  • Phone: 561-741-1700
  • Fax: 561-741-1777
Mailing address:
  • Phone: 561-741-1700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberOS7356
License Number StateFL

VIII. Authorized Official

Name: KEVIN NEWFIELD
Title or Position: PRESIDENT
Credential: D.O.
Phone: 561-741-1700