Individual
JEFFREY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
352 ENGLENOOK DR, DEBARY, FL 32713-1803
(407) 732-7266
Mailing address
5813 GRANDE LAGOON BLVD, PENSACOLA, FL 32507-9072
(850) 390-1697
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9119740
FL
Other
Enumeration date
08/09/2024
Last updated
03/21/2025
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