Healthcare Provider Details

I. General information

NPI: 1073548053
Provider Name (Legal Business Name): DRS. LEWIS AND LEWIS, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 05/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 N WYMORE RD SUITE 202
WINTER PARK FL
32789-2859
US

IV. Provider business mailing address

650 N WYMORE RD SUITE 202
WINTER PARK FL
32789-2859
US

V. Phone/Fax

Practice location:
  • Phone: 407-647-0199
  • Fax: 407-647-0213
Mailing address:
  • Phone: 407-647-0199
  • Fax: 407-647-0213

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: MISS RACHEL KRISHANTHI LEWIS
Title or Position: OFFICE MANAGER
Credential:
Phone: 407-647-4853