Individual
FREDERIC BRAD NEWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4531 N DAVIS HWY, PENSACOLA, FL 32503-2770
(850) 436-4563
(850) 436-4570
Mailing address
4828 N DAVIS HWY, PENSACOLA, FL 32503-2341
(850) 477-8109
(850) 476-5313
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
G71391
CA
207RG0100X
Gastroenterology Physician
Primary
ME126998
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016743900
—
FL
Enumeration date
11/09/2005
Last updated
04/11/2018
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