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Individual

DR. ROBERT JASON NEWSOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., M.P.H.

Contact information

Practice address
1406 MARYLAND AVE, LYNN HAVEN, FL 32444-2044
(850) 872-9752
Mailing address
1406 MARYLAND AVE, LYNN HAVEN, FL 32444-2044
(850) 872-9752

Taxonomy

Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
94571
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
045102
STATE LICENSE
GA
01
ME 94571
STATE LICENSE
FL
Enumeration date
07/28/2005
Last updated
08/24/2009
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