Healthcare Provider Details

I. General information

NPI: 1750304564
Provider Name (Legal Business Name): TAMEIKA LEWIS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3125 BRUTON BLVD STE B
ORLANDO FL
32805-6608
US

IV. Provider business mailing address

6011 S ORANGE AVE
ORLANDO FL
32809-4237
US

V. Phone/Fax

Practice location:
  • Phone: 407-900-5930
  • Fax: 407-930-9243
Mailing address:
  • Phone: 407-900-5930
  • Fax: 407-930-9243

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberLL29188
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberME106307
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: