Individual
BENNETT ALAN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1501 PRESIDENTIAL WAY, SUITE 20, WEST PALM BEACH, FL 33401-1800
(561) 471-2844
Mailing address
1501 PRESIDENTIAL WAY, SUITE 20, WEST PALM BEACH, FL 33401-1800
(561) 471-2844
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS6671
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65-1007874
TAX ID
FL
01
—
OS6671
LICENSE
FL
Enumeration date
07/28/2006
Last updated
07/29/2016
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