Individual
AGA JULIA LEWELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13535 NEMOURS PARKWAY, NEMOURS CHILDRENS HOSPITAL, ORLANDO, FL 32827-7402
(407) 567-4000
Mailing address
10140 CENTURION PKWY N FL PROVIDER, JACKSONVILLE, FL 32256-0532
(904) 697-4127
(904) 697-5102
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
ME119908
FL
2081P0010X
Pediatric Rehabilitation Medicine Physician
D0065555
MD
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
ME119908
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012906500
—
FL
Enumeration date
05/07/2007
Last updated
02/25/2019
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