Individual
DR. JUDSON LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1425 MALABAR RD NE, PALM BAY, FL 32907-2506
(321) 434-8121
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
64591
GA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
38101
SC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
64591
GA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME139138
FL
207RP1001X
Pulmonary Disease Physician
64591
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114138100
—
FL
05
—
GA1102
—
SC
01
—
TM501
MEDICARE HF
FL
Enumeration date
07/02/2007
Last updated
09/05/2024
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