Individual
CHARLES W. NEWBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1944 N HERCULES AVE STE C, CLEARWATER, FL 33763-4403
(727) 797-8100
(727) 797-8110
Mailing address
1944 N HERCULES AVE STE C, CLEARWATER, FL 33763-4403
(727) 797-8100
(727) 797-8110
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2298
AL
225100000X
Physical Therapist
Primary
PT20271
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114975703
NPI
FL
01
—
51524069
BLUE CROSS BLUE SHIELD
AL
Enumeration date
05/05/2006
Last updated
01/10/2011
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