Individual
DEL LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5527 STEWART ST, MILTON, FL 32570-4303
(850) 983-5200
Mailing address
5527 STEWART ST, MILTON, FL 32570-4303
(850) 983-5200
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F8S2L7F6
CERTIFIED CLINICAL MEDICAL ASSISTANT
FL
Enumeration date
12/12/2017
Last updated
12/12/2017
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