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Individual

THEODORE NEWMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
1111 W FAIRBANKS AVE STE 110, WINTER PARK, FL 32789-4777
(321) 843-5851
(321) 842-1611
Mailing address
1111 W FAIRBANKS AVE STE 110, WINTER PARK, FL 32789-4777
(321) 843-5851
(321) 842-1611

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP 9388429
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9388429
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
018952300
FL
Enumeration date
09/23/2016
Last updated
03/06/2026
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