Individual
MR. EUGENE ALEXANDER LEWIS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8660 BUCCILLI DR, APT 204, ORLANDO, FL 32829-8394
(843) 503-8410
Mailing address
8660 BUCCILLI DR, APT 204, ORLANDO, FL 32829-8394
(843) 503-8410
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9108345
FL
Other
Enumeration date
11/13/2014
Last updated
11/13/2014
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