Individual
DR. MARTIN GWENT LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6501 PASADENA AVENUE, NORTH, ST. PETERSBURG, FL 33710
(727) 343-3545
(727) 343-3681
Mailing address
6501 PASADENA AVENUE, NORTH, ST. PETERSBURG, FL 33710
(727) 343-3545
(727) 343-3681
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME43645
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257906500
—
FL
Enumeration date
07/06/2006
Last updated
02/08/2012
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