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Individual

JASON LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
(480) 301-8000

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
78495
AZ
207ZP0101X
Anatomic Pathology Physician
ME118445
FL

Other

Enumeration date
12/20/2005
Last updated
10/22/2025
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