Individual
CAROL LOUISE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.F.A.
Contact information
Practice address
1350 13TH AVE S, JACKSONVILLE BEACH, FL 32250-3203
(904) 627-2900
Mailing address
207 SPINDRIFT LN, NEPTUNE BEACH, FL 32266-3269
(904) 868-3046
(904) 819-5793
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
1062262
FL
Other
Enumeration date
06/10/2013
Last updated
06/10/2013
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