Lewis, Marjorie Evangeline

Lewis, Marjorie Evangeline is an sole proprietor health care provider with primary practice located at 1711 Sw 99Th Ave , Miramar FL 33025-1809. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Lewis, Marjorie Evangeline can be contacted via phone (954) 438-4311.

Contact Information

Primary practice address
1711 Sw 99Th Ave Miramar FL 33025-1809
Phone: (954) 438-4311
Fax: (954) 239-5767
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP 3006442 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP 3006442 Florida

Profile Details

NPI number 1043469711
LBN Legal business name Lewis, Marjorie Evangeline
Credentials A.R.N.P
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 17th, 2008
Last updated Sep 17th, 2008 - about 16 years ago

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 1043469711 NPPES
Florida MEDICAID 6937357-98

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