Healthcare Provider Details

I. General information

NPI: 1851068688
Provider Name (Legal Business Name): DR. DONNA LEWIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2021
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 NE 3RD AVE
OKEECHOBEE FL
34972-2961
US

IV. Provider business mailing address

204 NE 3RD AVE
OKEECHOBEE FL
34972-2961
US

V. Phone/Fax

Practice location:
  • Phone: 863-763-4320
  • Fax:
Mailing address:
  • Phone: 863-763-4320
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH13683
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: