Lewis, Carol Virginia

Lewis, Carol Virginia is an individual health care provider with primary practice located at 8614 State Road 70 E Ste 200 , Bradenton FL 34202-3710. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Lewis, Carol Virginia can be contacted via phone (941) 727-1243.

Contact Information

Primary practice address
8614 State Road 70 E Ste 200 Bradenton FL 34202-3710
Phone: (941) 727-1243
Fax: (941) 751-9039
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP 1087932 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN1087932 Florida

Profile Details

NPI number 1578591830
LBN Legal business name Lewis, Carol Virginia
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Jan 2nd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578591830 NPPES
Florida MEDICAID 251048100

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