Individual
EVAN MILLER LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1717 N E ST STE 422, PENSACOLA, FL 32501-6333
(850) 469-0642
Mailing address
PO BOX 17567, PENSACOLA, FL 32522-7567
(850) 469-0642
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME132350
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021104000
—
FL
Enumeration date
07/10/2010
Last updated
07/21/2022
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