Individual
BRETT J LEWELLYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(321) 843-4800
(321) 843-2172
Mailing address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(321) 843-4800
(321) 843-2172
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
ME107935
FL
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
ME107935
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005919900
—
FL
01
—
ME107935
MEDICAL LICENSE
FL
Enumeration date
10/01/2008
Last updated
11/14/2016
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