Individual
DR. MICHAEL C LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
655 W 8TH ST, ANESTHESIOLOGY, JACKSONVILLE, FL 32209-6511
(904) 244-4195
Mailing address
PO BOX 44008, PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
(904) 244-3660
(904) 244-3425
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME62770
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003133873A
—
GA
05
—
0423777-01
—
FL
01
—
21066
BCBS
FL
Enumeration date
07/07/2006
Last updated
01/22/2014
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