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1396776522 NPI number — ANTHONY B LEWIS M.D.

NPI Number: 1396776522
Health Care Provider/Practitioner: ANTHONY B LEWIS M.D.

Information about “1396776522” NPI (ANTHONY B LEWIS M.D.) exists in 1396776522 in HTML format HTML  |  1396776522 in plain Text format TXT  |  1396776522 in PDF (Portable Document Format) PDF  |  1396776522 in an XML format XML  formats.

NPI Number : 1396776522 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1396776522",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LEWIS",
    "FirstName": "ANTHONY",
    "MiddleName": "B",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1391 NW SAINT LUCIE WEST BLVD # 216",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PORT SAINT LUCIE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "34986-2196",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "772-877-8578",
    "MailingAddressFaxNumber": "772-877-8549",
    "FirstLinePracticeLocationAddress": "537 NW LAKE WHITNEY PL",
    "SecondLinePracticeLocationAddress": "UNIT 103-106",
    "PracticeLocationAddressCityName": "PORT SAINT LUCIE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34986-1620",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "772-877-8578",
    "PracticeLocationAddressFaxNumber": "772-398-6246",
    "EnumerationDate": "07/05/2006",
    "LastUpdateDate": "01/11/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207RC0000X",
        "TaxonomyName": "Cardiovascular Disease Physician",
        "LicenseNumber": "ME82977",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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