Newport, Mary

Newport, Mary is an individual health care provider with primary practice located at 15500 Serengeti Blvd , Spring Hill FL 34610-7684. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Newport, Mary can be contacted via phone (352) 428-0251.

Contact Information

Primary practice address
15500 Serengeti Blvd Spring Hill FL 34610-7684
Fax: (727) 379-0015
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X ME42473 Florida
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME42473 Florida

Profile Details

NPI number 1063573855
LBN Legal business name Newport, Mary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Mar 11th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063573855 NPPES
Florida MEDICAID 068902500

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