SearchFlorida175T00000X

Jared Lewis

NPI 1396594941 · on the registry since 2024 · sole proprietor

Practice

Address
255 Dryden Cir
Cocoa, FL 32926
Phone
(321) 412-0577
Fax
(321) 978-9280

Registry record

Primary taxonomy
175T00000X
175T00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-05-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida