Individual
JOHN S NEWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
875 STERTHAUS AVE, ORMOND BEACH, FL 32174-5131
(386) 676-6000
Mailing address
1329 SW 16TH ST RM 2232, GAINESVILLE, FL 32608-1128
(352) 733-0485
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN2860442
FL
367500000X
Certified Registered Nurse Anesthetist
ARNP2860442
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302149100
—
FL
01
—
G1800
BLUE SHIELD PROV #
FL
Enumeration date
09/09/2005
Last updated
01/05/2021
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