Lewis, Marshall Corydon

Lewis, Marshall Corydon is an individual health care provider with primary practice located at 5325 Greenwood Ave Suite #302, West Palm Beach FL 33407-2452. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Lewis, Marshall Corydon can be contacted via phone (561) 844-9858.

Contact Information

Primary practice address
5325 Greenwood Ave Suite #302 West Palm Beach FL 33407-2452
Fax: (561) 844-3436
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X ME78926 Florida

Profile Details

NPI number 1386698686
LBN Legal business name Lewis, Marshall Corydon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Jan 12th, 2024 - about 10 months 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 1386698686 NPPES
Florida MEDICAID 264490800

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