Individual
CAROL VIRGINIA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
8614 STATE ROAD 70 E STE 200, BRADENTON, FL 34202-3710
(941) 727-1243
(941) 751-9039
Mailing address
6900 TAVISTOCK LAKES BLVD STE 300, ORLANDO, FL 32827-7592
(833) 309-3737
(321) 380-1411
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
ARNP 1087932
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN1087932
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251048100
—
FL
Enumeration date
06/28/2006
Last updated
01/02/2024
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