Organization
FTG ORTHO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIC J LEWIS MD (MGR)
(305) 937-1999
Entity
Organization
Contact information
Practice address
2627 NE 203RD ST STE 100, AVENTURA, FL 33180-1945
(305) 937-1999
Mailing address
2627 NE 203RD ST STE 100, AVENTURA, FL 33180-1945
(305) 937-1999
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
207XX0801X
Orthopaedic Trauma Physician
—
—
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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