Individual
MISS JOYCE CATHERINE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1541 MEDICAL DR, TALLAHASSEE, FL 32308-4615
(850) 431-7816
Mailing address
1541 MEDICAL DR, TALLAHASSEE, FL 32308-4615
(850) 431-7816
(406) 791-9277
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MED-PAC-LIC-67223
MT
363AM0700X
Medical Physician Assistant
67223
MT
363AM0700X
Medical Physician Assistant
Primary
9115020
FL
Other
Enumeration date
05/28/2018
Last updated
03/25/2022
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