Individual
MRS. CHARNISHA LAVERN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, RCSWI
Contact information
Practice address
4906 WILD COFFEE AVE, WIMAUMA, FL 33598-2410
(904) 874-2800
Mailing address
4906 WILD COFFEE AVE, WIMAUMA, FL 33598-2410
(904) 874-2800
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
00000
FL
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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