Individual
DR. LEWIS WALTER FAILOR III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1991 HYDE PARK ST, SUITE 1, SARASOTA, FL 34239-3600
(941) 954-3700
(941) 954-3800
Mailing address
942 32ND ST, SARASOTA, FL 34234-5717
(727) 519-5679
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
CH6839
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55208
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/07/2006
Last updated
07/08/2007
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