Individual provider · Type 1 NPI

Carly Newsome, DC

Chiropractor · Ponte Vedra, FL

NPI number 1083436182 Active

Practice location

4220 Valley Ridge Blvd Ste 106
Ponte Vedra, FL 32081-5173

Mailing address

10961 Burnt Mill Rd Apt 126
Jacksonville, FL 32256-4674

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X15247 (FL)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1083436182

Carly Newsome, DC's National Provider Identifier is 1083436182, issued on Oct 29, 2024. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Ponte Vedra, FL. The record was last updated on Oct 18, 2025.