Individual
DR. JEFFREY W LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16400 HEALTHPARK COMMONS DR, FORT MYERS, FL 33908-9621
(239) 278-5200
(239) 278-4243
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME53401
FL
208600000X
Surgery Physician
Primary
ME53401
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020011787
RAILROAD MEDICARE
FL
05
—
049245100
—
FL
01
—
07160
BLUE CROSS & BLUE SHIELD
FL
01
—
15914
WELLCARE
FL
01
—
235567
AVMED
FL
01
—
3178924
CIGNA
FL
01
—
4091413
AETNA
FL
01
—
616993502
DEPARTMENT OF ENERGY
FL
01
—
A003
TRICARE
FL
01
—
P01123877
RAILROAD MCR
FL
01
—
P108801
FREEDOM HEALTH
—
01
—
P944515
OPTIMUM
FL
Enumeration date
05/15/2007
Last updated
05/06/2016
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