MEDICARE: MS. TONYA MARIA LEWIS LPN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	PN5221342	FL

General Provider Information

NPI Number	:	1215887922
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TONYA MARIA LEWIS LPN

Provider Business Mailing Address
First Line	:	4250 DEVOE AVE
Second Line	:
City	:	COCOA
State	:	FL
Zip	:	32927-4752
Country	:	US
Telephone Number	:	321-615-7155
Fax Number	:

Provider Business Practice Location Address
First Line	:	2802 ALOMA AVE STE 201
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32792-3532
Country	:	US
Telephone Number	:	407-270-5501
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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