Individual
MR. TROY TERRENCE LEWIS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
4101 SOUTHPOINT DR E, JACKSONVILLE, FL 32216-0996
(904) 296-6800
Mailing address
4101 SOUTHPOINT DR E, JACKSONVILLE, FL 32216-0996
(904) 296-6800
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5205492
FL
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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