| Lewis Health Institute, Inc. | |
|
1310 Sw St. Lucie West Blvd. Pt. St. Lucie FL 34986 | |
| (772) 398-6200 | |
| (772) 398-6246 |
| Full Name | Lewis Health Institute, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 1310 Sw St. Lucie West Blvd., Pt. St. Lucie, Florida |
| Authorized Official Name and Position | Yolanda V Lewis (PRESIDENT) |
| Authorized Official Contact | 7723986000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lewis Health Institute, Inc. Po Box 1447 Ft. Pierce FL 34954-1447 Ph: (772) 398-6200 | Lewis Health Institute, Inc. 1310 Sw St. Lucie West Blvd. Pt. St. Lucie FL 34986 Ph: (772) 398-6200 |
| NPI Number | 1568616142 |
|---|---|
| Provider Enumeration Date | 11/10/2008 |
| Last Update Date | 10/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568616142 | NPI | - | NPPES |
| 000640700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | ME100426 (Florida) | Primary |