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Organization

JEFFREY W LEWIS MD PA

Active
Other names
Lewis & Knight MD PA
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY W LEWIS MD (PRESIDENT)
(239) 278-5200
Entity
Organization

Contact information

Practice address
16400 HEALTHPARK COMMONS DRIVE, FORT MYERS, FL 33908-9621
(239) 278-5200
(239) 278-4243
Mailing address
16400 HEALTHPARK COMMONS DRIVE, FORT MYERS, FL 33908-9621
(239) 278-5200
(239) 278-4243

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME53401
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020011787
RAILROAD MEDICARE
FL
05
049245100
FL
01
07160
BCBS
FL
01
A003
TRICARE
FL
Enumeration date
04/13/2006
Last updated
12/03/2012
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