Provider Demographics
NPI:1588780365
Name:NEWMAN, JUSTIN (OMD, MAC)
Entity type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:
Last Name:NEWMAN
Suffix:
Gender:M
Credentials:OMD, MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6619 S DIXIE HWY STE 229
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-7919
Mailing Address - Country:US
Mailing Address - Phone:305-898-6020
Mailing Address - Fax:305-663-5699
Practice Address - Street 1:8603 S DIXIE HWY
Practice Address - Street 2:SUITE 217
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-7807
Practice Address - Country:US
Practice Address - Phone:305-663-5696
Practice Address - Fax:305-663-5699
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2019-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP1369171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist