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Individual

DEANNA NEWKIRK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2295 S HIAWASSEE RD STE 201, ORLANDO, FL 32835-8747
(407) 592-3832
Mailing address
2295 S HIAWASSEE RD STE 201, ORLANDO, FL 32835-8747

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
251B00000X
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
692707698
FL
Enumeration date
08/03/2012
Last updated
08/03/2012
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