Individual
DR. GIDEON JAWAHARLAL LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
650 N WYMORE RD, SUITE 202, WINTER PARK, FL 32789-2859
(407) 647-0199
(407) 647-0213
Mailing address
650 N WYMORE RD, SUITE 202, WINTER PARK, FL 32789-2859
(407) 647-0199
(407) 647-0213
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
PO3239
FL
213EP1101X
Primary Podiatric Medicine Podiatrist
PO3239
FL
213ER0200X
Radiology Podiatrist
PO3239
FL
213ES0000X
Sports Medicine Podiatrist
PO3239
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3239
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7530981
CIGNA
FL
01
—
7581866
AETNA
FL
01
—
P00423470
RAILROAD MEDICARE
FL
01
—
PO3239
LICENSE
FL
Enumeration date
01/13/2006
Last updated
04/28/2008
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