Organization
JARED M LEWIS
Active
Other names
J & M Bracing
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JARED MATHIAS LEWIS ORTHOTIC FITTER (OWNER/ PRESIDENT)
(321) 632-1116
Entity
Organization
Contact information
Practice address
906 DIXON BLVD, COCOA, FL 32922-6890
(321) 632-1116
(321) 632-4994
Mailing address
906 DIXON BLVD, COCOA, FL 32922-6890
(321) 632-1116
(321) 632-4994
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
ORF 134
FL
Other
Enumeration date
04/26/2006
Last updated
08/22/2020
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