Individual
EDMUND GEOFFREY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1575 SANTA BARBARA BLVD, THE VILLAGES, FL 32159-6820
(352) 674-1740
(352) 674-8940
Mailing address
1020 LAKE SUMTER LNDG, THE VILLAGES, FL 32162-2699
(352) 674-8905
(352) 674-8901
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
12136
MS
207R00000X
Internal Medicine Physician
ME117287
FL
208M00000X
Hospitalist Physician
12136
MS
208M00000X
Hospitalist Physician
Primary
ME117287
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00015124
—
MS
01
—
168390708
DOL
—
01
—
753068151015
TRICARE
MS
Enumeration date
06/28/2006
Last updated
08/15/2025
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