Individual
MICHAEL NEWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1075 9TH AVE N, ST PETERSBURG, FL 33705-1255
(727) 895-5864
(727) 896-9598
Mailing address
1075 9TH AVE N, ST PETERSBURG, FL 33705-1255
(727) 895-5864
(727) 896-9598
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME0081503
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220817
AMERIGROUP
—
05
—
261165100
—
FL
01
—
279351
AVMED
—
01
—
290014717
RAILROAD MEDICARE
—
01
—
58895
BCBS
—
01
—
5918436
AETNA
—
01
—
N188582
WELLCARE
—
Enumeration date
08/21/2006
Last updated
07/08/2007
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