Individual
DR. JAIME C LEWELLYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
10000 SW INNOVATION WAY, PORT ST LUCIE, FL 34987-2111
(772) 345-8100
Mailing address
10000 SW INNOVATION WAY, PORT ST LUCIE, FL 34987-2111
(772) 345-8100
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
21719
FL
207RC0000X
Cardiovascular Disease Physician
3153
TN
207RI0011X
Interventional Cardiology Physician
Primary
21719
FL
207RI0011X
Interventional Cardiology Physician
3153
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q027984
—
TN
Enumeration date
05/01/2014
Last updated
01/17/2025
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