Lewis, Merle

Lewis, Merle is an individual health care provider with primary practice located at 1425 Malabar Rd Ne , Palm Bay FL 32907-2506. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Lewis, Merle can be contacted via phone (321) 434-8078.

Contact Information

Primary practice address
1425 Malabar Rd Ne Palm Bay FL 32907-2506
Fax: (321) 434-8075
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME140652 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME140652 Florida

Profile Details

NPI number 1114380821
LBN Legal business name Lewis, Merle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2016
Last updated Aug 13th, 2019 - about 5 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 1114380821 NPPES
Florida MEDICAID 102953400
Florida Other LI622

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