Individual
MICHAEL L LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2318 MANATEE AVE W, BRADENTON, FL 34205-5432
(941) 714-7150
(941) 741-3242
Mailing address
700 8TH AVE W, SUITE 101, PALMETTO, FL 34221-4737
(941) 776-4008
(941) 845-4963
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME44916
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042377700
—
FL
01
—
30821
BCBS
FL
Enumeration date
06/01/2005
Last updated
03/24/2017
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