Lewis, Todd C

Lewis, Todd C is an individual health care provider with primary practice located at 300 Health Park Blvd Suite 1006, St Augustine FL 32086-3707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Lewis, Todd C can be contacted via phone (904) 794-7050.

Contact Information

Primary practice address
300 Health Park Blvd Suite 1006 St Augustine FL 32086-3707
Phone: (904) 794-7050
Fax: (904) 794-7135
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 0101236867 Virginia

Profile Details

NPI number 1245274505
LBN Legal business name Lewis, Todd C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Jan 23rd, 2014 - about 10 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 1245274505 NPPES
Maryland MEDICAID 406745200

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