Lewis, Michael L

Lewis, Michael L is an individual health care provider with primary practice located at 2318 Manatee Ave W , Bradenton FL 34205-5432. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Lewis, Michael L can be contacted via phone (941) 714-7150.

Contact Information

Primary practice address
2318 Manatee Ave W Bradenton FL 34205-5432
Phone: (941) 714-7150
Fax: (941) 741-3242
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME44916 Florida

Profile Details

NPI number 1265434542
LBN Legal business name Lewis, Michael L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Mar 24th, 2017 - about 8 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 1265434542 NPPES
Florida MEDICAID 042377700
Florida Other 30821

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