Individual
CHRIS LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3902 N 9TH AVE STE 11, PENSACOLA, FL 32503-2872
(850) 232-9068
Mailing address
3902 N 9TH AVE STE 11, PENSACOLA, FL 32503-2872
(850) 232-9068
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
690438696
—
FL
Enumeration date
02/09/2022
Last updated
02/09/2022
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