Individual
JABARI LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
118 OHIO AVE N STE A, LIVE OAK, FL 32064-2464
(305) 853-6714
Mailing address
2835 KIRKWOOD CIR, VALDOSTA, GA 31602-7125
(305) 853-6714
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
26R-CPT1620
FL
Other
Enumeration date
06/25/2026
Last updated
06/25/2026
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