Individual
MS. AMY L LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8927 US HIGHWAY 301 N STE 210, PARRISH, FL 34219-8701
(941) 845-4621
Mailing address
3018 53RD AVE E, BRADENTON, FL 34203-4331
(941) 348-2760
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1240-023
ZZ
363A00000X
Physician Assistant
3618-024
WI
363A00000X
Physician Assistant
Primary
9115041
FL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/28/2006
Last updated
05/22/2023
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