# M3J ENTERPRISES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588345763
- **Authorized official:** MICHELLE A LEWIS PMHNP (OWNER)
- **Authorized official phone:** (321) 412-0577

## Contact information

- **Practice address:** 255 DRYDEN CIRCLE, COCOA, FL 32926
- **Practice address phone:** (321) 349-3442
- **Mailing address:** 255 DRYDEN CIRCLE, COCOA, FL 32926
- **Mailing address phone:** (321) 349-3442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/31/2023
- **Last updated:** 05/11/2025