MEDICARE: STUART LEWKOWITZ D.P.M.

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	213EP1101X	Primary Podiatric Medicine Podiatrist	PO0001952	FL
2	213EP1101X	Primary Podiatric Medicine Podiatrist	N003416	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407970908
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STUART LEWKOWITZ D.P.M.

Provider Business Mailing Address
First Line	:	665 NE 195TH ST
Second Line	:	#318
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33179
Country	:	US
Telephone Number	:	954-558-4084
Fax Number	:

Provider Business Practice Location Address
First Line	:	665 NE 195TH ST
Second Line	:	#318
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33179-3339
Country	:	US
Telephone Number	:	954-558-4084
Fax Number	:

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

Provider Enumeration Date	:	03/19/2007
Last Update Date	:	07/08/2007

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Directions to “ STUART LEWKOWITZ D.P.M.” Practice Location

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