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NPI Code Detail

MEDICARE: KEVIN C. LEWIS M.D.

MEDICARE: KEVIN C. LEWIS M.D.
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
1208800000XUrology Physician57.245767OH
2208800000XUrology PhysicianA192343CA

General Provider Information

NPI Number : 1497147144
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN C. LEWIS M.D.
Provider Business Mailing Address
First Line : 5850 CORAL RIDGE DR STE 106
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33076-3379
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5850 CORAL RIDGE DR STE 106
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33076-3379
Country : US
Telephone Number : 954-714-8200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2015
Last Update Date : 02/11/2026

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Directions to “ KEVIN C. LEWIS M.D.” Practice Location

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