Individual
MS. ELIZABETH NEWSOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2441 NW 139TH ST, OPA LOCKA, FL 33054-4034
(786) 371-1808
Mailing address
2441 NW 139TH ST, OPA LOCKA, FL 33054-4034
(786) 371-1808
Taxonomy
Speciality
Code
Description
License number
State
2279H0200X
Home Health Registered Respiratory Therapist
Primary
RT6986
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
887267800
—
FL
Enumeration date
05/02/2012
Last updated
05/02/2012
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