Individual
ADAM LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
425 S KINGS AVE, BRANDON, FL 33511-5919
(804) 822-0547
Mailing address
4805 BAY HERON PL APT 721, TAMPA, FL 33616-2949
(804) 822-0547
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11035556
FL
Other
Enumeration date
10/01/2024
Last updated
10/24/2024
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