| Janet I Lewis LLC | |
|
4225 Woodbine Rd Ste C Pace FL 32571-8791 | |
| (850) 384-3151 | |
| (850) 994-9130 |
| Full Name | Janet I Lewis LLC |
|---|---|
| Speciality | Preventive Medicine |
| Location | 4225 Woodbine Rd Ste C, Pace, Florida |
| Authorized Official Name and Position | Janet I Lewis (PRESIDENT) |
| Authorized Official Contact | 8503843151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Janet I Lewis LLC Po Box 6034 Pensacola FL 32503-0034 Ph: (850) 384-3151 | Janet I Lewis LLC 4225 Woodbine Rd Ste C Pace FL 32571-8791 Ph: (850) 384-3151 |
| NPI Number | 1013741354 |
|---|---|
| Provider Enumeration Date | 08/29/2024 |
| Last Update Date | 08/29/2024 |
| Certification Date | 08/29/2024 |
| Medicare PECOS PAC ID | 8426599614 |
|---|---|
| Medicare Enrollment ID | O20240915000043 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013741354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | () | Primary |
| Provider Name | Janet Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457362287 PECOS PAC ID: 3375539570 Enrollment ID: I20100201000496 |
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