Individual
DEANNA LEE NEWLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
34876 US 19 N, PALM HARBOR, FL 34684-1918
(727) 216-3972
Mailing address
205 161ST AVE, REDINGTON BEACH, FL 33708-1652
(727) 678-3779
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA72505
FL
Other
Enumeration date
05/03/2013
Last updated
10/08/2013
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