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Individual

DR. ALEX JUSTIN LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
951 NW 13TH ST STE 1C, BOCA RATON, FL 33486-2337
(561) 447-9341
Mailing address
951 NW 13TH ST STE 1C, BOCA RATON, FL 33486-2337
(561) 447-9341

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME123940
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
015388800
FL
01
LL31761
NATIONAL PROVIDER IDENTIFCATION
SC
Enumeration date
06/11/2009
Last updated
02/12/2018
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