MEDICARE: RICHARD P NEWMAN MD PA

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	2084P0800X	Psychiatry Physician	ME0045046	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

General Provider Information

NPI Number	:	1821118753
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RICHARD P NEWMAN MD PA

Provider Business Mailing Address
First Line	:	2076 S COURTENAY PKWY
Second Line	:
City	:	MERRITT ISLAND
State	:	FL
Zip	:	32952-3912
Country	:	US
Telephone Number	:	321-431-6646
Fax Number	:	321-453-7784

Provider Business Practice Location Address
First Line	:	1395 N COURTENAY PKWY STE 106
Second Line	:
City	:	MERRITT ISLAND
State	:	FL
Zip	:	32953-4474
Country	:	US
Telephone Number	:	321-431-6646
Fax Number	:	321-453-7784

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RICHARD PAUL NEWMAN
Credential	:	M.D.
Telephone Number	:	321-431-6646

Provider Enumeration Date	:	04/02/2007
Last Update Date	:	07/21/2022

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Directions to “RICHARD P NEWMAN MD PA ” Practice Location

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