Individual
JOSEPH ROBERT LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
13685 DOCTORS WAY STE 100, FORT MYERS, FL 33912-4337
(239) 343-1612
(239) 343-4229
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-1612
(239) 343-4229
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
OS17741
FL
208600000X
Surgery Physician
04741
KY
208600000X
Surgery Physician
OS17741
FL
2086S0102X
Surgical Critical Care Physician
6938
FL
2086S0102X
Surgical Critical Care Physician
Primary
OS17741
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111267200
—
FL
Enumeration date
04/13/2015
Last updated
04/13/2026
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