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Individual

HEATHER G LEWIN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
720 SW 2ND AVE, GAINESVILLE, FL 32601-1209
(352) 373-0933
(352) 377-5215
Mailing address
4371 VERONICA S. SHOEMAKER BLVD., ATTN: CREDENTIALING, FORT MYERS, FL 33916-2216
(239) 274-8200
(239) 278-3350

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3286122
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
303845900
FL
01
500027613
RAILROAD MEDICARE
FL
Enumeration date
10/11/2005
Last updated
03/23/2016
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