Individual
JEWELL D LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
445 SW DALTON CIR, PORT SAINT LUCIE, FL 34953-5851
(772) 224-2510
(772) 323-0174
Mailing address
445 SW DALTON CIR, PORT SAINT LUCIE, FL 34953-5851
(772) 224-2510
(772) 323-0174
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
6906913
FL
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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