Organization
M3J ENTERPRISES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE A LEWIS PMHNP (OWNER)
(321) 412-0577
Entity
Organization
Contact information
Practice address
255 DRYDEN CIRCLE, COCOA, FL 32926
(321) 349-3442
Mailing address
255 DRYDEN CIRCLE, COCOA, FL 32926
(321) 349-3442
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
07/31/2023
Last updated
05/11/2025
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