Lewis, Mary

Lewis, Mary is an individual health care provider with primary practice located at 15201 N Cleveland Ave Ste 1010 , North Fort Myers FL 33903-2717. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lewis, Mary can be contacted via phone (855) 674-2500.

Contact Information

Primary practice address
15201 N Cleveland Ave Ste 1010 North Fort Myers FL 33903-2717
Phone: (855) 674-2500
Fax: (239) 599-4126
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN684212 Florida

Profile Details

NPI number 1669425732
LBN Legal business name Lewis, Mary
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Jan 10th, 2024 - about 8 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 1669425732 NPPES
Florida MEDICAID 305829800

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