Individual
MERLE S LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1425 MALABAR RD NE, PALM BAY, FL 32907-2506
(321) 434-8078
(321) 434-8075
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-8078
(321) 951-7408
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME140652
FL
208M00000X
Hospitalist Physician
Primary
ME140652
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102953400
—
FL
01
—
LI622
MEDICARE
FL
Enumeration date
03/30/2016
Last updated
01/02/2025
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