Organization
NEWSOME MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LADAPO O SHYNGLE MD (MEDICAL DIRECTOR)
(863) 422-0001
Entity
Organization
Contact information
Practice address
121 WEBB DR, SUITE 100, DAVENPORT, FL 33837-3904
(863) 422-0001
(863) 422-0003
Mailing address
121 WEBB DR, SUITE 100, DAVENPORT, FL 33837-3904
(863) 422-0001
(863) 422-0003
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
ME 94349
FL
Other
Enumeration date
07/03/2013
Last updated
07/21/2014
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