MEDICARE: DR. ROBERT CASH LEWIN D.C.

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	111NR0400X	Rehabilitation Chiropractor	CH7417	FL

General Provider Information

NPI Number	:	1548307143
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT CASH LEWIN D.C.

Provider Business Mailing Address
First Line	:	12441 N STONEBROOK CIR
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33330-1295
Country	:	US
Telephone Number	:	954-733-9000
Fax Number	:	954-733-4366

Provider Business Practice Location Address
First Line	:	2659 W OAKLAND PARK BLVD # 2679
Second Line	:
City	:	OAKLAND PARK
State	:	FL
Zip	:	33311-1355
Country	:	US
Telephone Number	:	954-733-9000
Fax Number	:	954-733-4366

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

Provider Enumeration Date	:	01/31/2007
Last Update Date	:	07/08/2007

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