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Individual

PAMELA LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1615 GLENDALE RD, ORLANDO, FL 32808-6113
(407) 257-0296
(407) 674-7430
Mailing address
1615 GLENDALE RD, ORLANDO, FL 32808-6113

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003458100
FL
Enumeration date
02/13/2013
Last updated
04/29/2021
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