Jared M Lewis in Cocoa - Prosthetic/orthotic Supplier
Jared M Lewis - NPI 1720045768
Jared M Lewis is a Prosthetic/orthotic Supplier in Cocoa, Florida. Jared M Lewis practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Jared M Lewis is 1720045768. The last update date is 2020-08-22.
Jared M Lewis's current location address is 906 Dixon Blvd, Cocoa, Florida. You can contact this provider via phone number 3216321116 and fax number 3216324994. The mailing address for Jared M Lewis is 906 Dixon Blvd, Cocoa, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jared M Lewis |
|---|---|
| Address | 906 Dixon Blvd, Cocoa, Florida |
| Phone Number | 3216321116 |
| Fax Number | 3216324994 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/ PRE |
|---|---|
| Authorized Official Name | Lewis Mathias Jared |
| Credentials | ORTHOTIC F |
| Telephone Number | 3216321116 |
NPI Number Detail
| NPI Number | 1720045768 |
|---|---|
| Provider Enumeration Date | 2006-04-26 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 906 Dixon Blvd |
|---|---|
| City | Cocoa |
| State | Florida (FL) |
| Post Code | 329226890 |
| Phone Number | 3216321116 |
| Fax Number | 3216324994 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
| Licence No | ORF 134 |
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Definition: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological f |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Jared M Lewis?
The Jared M Lewis has been issued the NPI (National Provider Identifier) 1720045768 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Jared M Lewis located?
The Jared M Lewis is located at 906 Dixon Blvd, Cocoa, FL 329226890.
What is the Jared M Lewis's specialty and taxonomy code?
The Jared M Lewis's specialty is Prosthetic/orthotic Supplier, and the corresponding taxonomy code is 335E00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1720045768 to Jared M Lewis?
The Jared M Lewis received its 1720045768 assignment from the Centers for Medicare & Medicaid Services on 2006-04-26.
When was the information pertaining to Jared M Lewis most recently updated or revised?
The details related to Jared M Lewis, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.