MEDICARE: DR. LOUIS M NEWMAN DPM

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	213E00000X	Podiatrist	2372	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033199971
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LOUIS M NEWMAN DPM

Provider Business Mailing Address
First Line	:	1740 SW 135TH WAY
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33027-3464
Country	:	US
Telephone Number	:	654-561-2778
Fax Number	:	954-885-5370

Provider Business Practice Location Address
First Line	:	512 WEST OAKLAND PARK BLVD
Second Line	:
City	:	WILTON MANORS
State	:	FL
Zip	:	33311-1726
Country	:	US
Telephone Number	:
Fax Number	:

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

Provider Enumeration Date	:	01/18/2006
Last Update Date	:	05/04/2021

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