Individual
BEVERLY J LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1537 S ALAFAYA TRL, ORLANDO, FL 32828-8957
(407) 203-3888
Mailing address
1537 S ALAFAYA TRL, ORLANDO, FL 32828-8957
(407) 203-3888
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
APRN11028652
FL
363LF0000X
Family Nurse Practitioner
RN2322733
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN23227332021
—
MA
Enumeration date
03/08/2021
Last updated
11/21/2024
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