Individual
DR. LEWIS C BEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 W EAU GALLIE BLVD SUITE 102, MELBOURNE, FL 32935
(321) 726-0007
(321) 622-6231
Mailing address
1600 W EAU GALLIE BLVD SUITE 102, MELBOURNE, FL 32935
(321) 726-0007
(321) 622-6231
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME85479
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264822900
—
FL
Enumeration date
11/08/2005
Last updated
02/01/2018
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