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General NPI Number Information
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NPI Number | 1033129226
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Entity Type | Organization
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Legal Business Name | LOUIS NEWMAN DPM, PA
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 11/04/2008
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Provider Practice Location Address
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Address Line | 5938 W 20TH AVE
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City | HIALEAH
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State | FL
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Zip | 33016-2604
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Country | US
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Telephone | 305-826-7599
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Fax | 305-826-1644
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Provider Business Mailing Address
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Address Line | PO BOX 160897
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City | HIALEAH
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State | FL
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Zip | 33016-0015
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Country | US
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Telephone | 305-984-2118
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Fax | 305-826-1644
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Authorized Official
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Title or Position | PRESIDENT, CEO
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Name | DR. LOUIS MICHAEL NEWMAN
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Credential | DPM
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Telephone | 305-984-2118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | PO 0002372
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License Number State | FL
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