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Individual

MR. LEWIS LEONARD MONROE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-C, PMHNP-BC

Contact information

Practice address
732 BALMORAL LN STE 10-240, ORANGE PARK, FL 32073-4287
(904) 456-0699
Mailing address
410 BLANDING BLVD STE 10-240, ORANGE PARK, FL 32073-5051
(904) 456-0699

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.375949
OH
363LF0000X
Family Nurse Practitioner
R182735
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN11014846
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN11014846
FL

Other

Enumeration date
05/09/2013
Last updated
07/31/2025
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