Healthcare Provider Details

I. General information

NPI: 1235626201
Provider Name (Legal Business Name): MICHELLE ALECIA NEWMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2018
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 SE OSCEOLA ST
STUART FL
34994-2301
US

IV. Provider business mailing address

501 SE OSCEOLA ST
STUART FL
34994-2301
US

V. Phone/Fax

Practice location:
  • Phone: 772-288-5858
  • Fax:
Mailing address:
  • Phone: 772-288-5858
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number177406
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number308901-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: