institution
Jason D Lewis Dds Pa
Customized Equipment (DME) in Jacksonville, Florida
NPI 1043576150

Jason D Lewis Dds Pa is a Customized Equipment (DME) based in Jacksonville, FL and is specialized in Customized Equipment. Jason D Lewis Dds Pa practices in Jacksonville, FL. The NPI Number for Jason D Lewis Dds Pa is 1043576150 and holds a License No. DN16561 (Florida).

The current practice location address for Jason D Lewis Dds Pa is 130 Gateway Cir, Jacksonville, FL and can be reached out via phone at 904-201-6000 and via fax at 904-201-6004.

Location: 130 Gateway Cir, Jacksonville, FL, 32259-4003
institution
Provider Profile Details
NPI Number
1043576150
Provider Name
Jason D Lewis Dds Pa
Credential
Provider Entity Type
Organization
Address
130 Gateway Cir, Jacksonville, FL, 32259-4003
Phone Number
904-201-6000
Fax Number
904-201-6004
Provider Enumeration Date
04/03/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
130 Gateway Cir
City
State
Zip
32259-4003
Phone Number
904-201-6000
Fax Number
904-201-6004
person
Provider Business Mailing Address Details
Address
130 Gateway Cir
City
State
Zip
32259-4003
Phone Number
904-201-6000
Fax Number
904-201-6004
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
DN16561 (Florida)
Definition
Definition to come...
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