Individual
AMBER E. NEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
820 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8210
(904) 396-5682
Mailing address
820 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8210
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
070472
GA
207P00000X
Emergency Medicine Physician
OS12296
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2011
Last updated
03/17/2015
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