Individual
SHANTANA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6338 SW 70TH CIR, OCALA, FL 34474-1913
(352) 207-6646
Mailing address
6338 SW 70TH CIR, OCALA, FL 34474-1913
(352) 207-6646
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
11035643
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
11035643
FL
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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