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Individual

ALDITH M LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
9131 COLLEGE POINTE CT, FT MYERS, FL 33919
(239) 432-0101
(239) 432-0570
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9100
(239) 343-9108

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS9112
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
014619900
FL
Enumeration date
11/01/2005
Last updated
09/13/2021
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