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Individual

MR. GARY W NEWBERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1619 6TH ST SE, WINTER HAVEN, FL 33880-4605
(863) 297-5250
(863) 299-1315
Mailing address
1619 6TH ST SE, WINTER HAVEN, FL 33880-4605
(863) 297-5250
(863) 299-1315

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH2738
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0511331-00
FL
Enumeration date
10/19/2005
Last updated
09/13/2012
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