Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1750536108 Deactivated / Inactive NPI Male Practitioner

Clement Buckley Newbold , CP

Specialist • Winter Haven, FL

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Clement Newbold has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 27, 2008
NPI Deactivation Date October 23, 2024
Total Practice Duration ~16 Years of Practice (2008 – 2024)

Professional Overview & Biography Verified Profile Summary

Clement Newbold, CP was a registered Specialist practicing in Winter Haven, FL. Throughout an active medical career spanning 16 years, Clement Newbold provided care at the practice location at 1635 7TH ST SW until profile deactivation on 2024-10-23.

Practice Location & Contact Primary Location

Practice Address

1635 7th St Sw

Winter Haven, FL 338803818

Telephone 4074212407

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Winter Haven, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 34.0 Yrs
State Avg: 37.8 Yrs
Regional Practice Density
15 Specialists

Practicing in Winter Haven, FL (3036 Statewide)

Telehealth Adoption Rate
6.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License FL PRO108

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated October 23, 2024

Record deactivated on October 23, 2024

NPI Profile Active December 30, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location December 30, 2008

Registered at 1635 7TH ST SW, WINTER HAVEN, FL 338803818 (Tel: 4074212407)

📍
Updated Business Mailing Address December 30, 2008

Registered at 12810 QUAIL LAKE DR, CLERMONT, FL 347117300 (Tel: 4074212407)

👤
Provider Name / Credentials Updated December 30, 2008

Recorded as CLEMENT NEWBOLD, C.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2008

Specialist (License #PRO108 in FL)

🟢
Initial NPI Registration & Enumeration November 27, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Clement Newbold. Be the first to share your experience!

Sign in to leave a review for Clement Newbold

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1750536108
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 27, 2008
Last Update: December 30, 2008
Deactivation Date: October 23, 2024

Mailing Address

12810 Quail Lake Dr

Clermont, FL 347117300

Phone: 4074212407

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.