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Organization

LEWIS J. OBI, M.D., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LEWIS JOHN OBI M.D. (MEDICAL DIRECTOR)
(904) 399-0905
Entity
Organization

Contact information

Practice address
3599 UNIVERSITY BLVD S, SUITE 604, JACKSONVILLE, FL 32216-4252
(904) 399-0905
(904) 346-0757
Mailing address
3599 UNIVERSITY BLVD S, SUITE 604, JACKSONVILLE, FL 32216-4252
(904) 399-0905
(904) 346-0757

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
ME 12407
FL

Other

Enumeration date
04/12/2010
Last updated
04/12/2010
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