Individual
MS. KIMBERLY R LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1700 S TAMIAMI TRL, SARASOTA, FL 34239-3509
(941) 917-4896
(941) 917-6884
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP3205202
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010545500
—
FL
01
—
Y0L2S
BCBS
FL
Enumeration date
11/18/2013
Last updated
08/27/2018
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