Individual
MICHAEL, W NEWTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4125 TARTAN PL, TAMPA, FL 33624-5411
(813) 210-4098
Mailing address
3501 BESSIE COLEMAN BLVD # 3-21853, TAMPA, FL 33630-5009
(781) 217-4550
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/08/2024
Last updated
06/08/2024
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