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Jared M Lewis
Prosthetic/Orthotic Supplier in Cocoa, Florida
NPI 1720045768

Jared M Lewis is a Prosthetic/Orthotic Supplier based in Cocoa, FL. Jared M Lewis practices in Cocoa, FL. The NPI Number for Jared M Lewis is 1720045768 and holds a License No. ORF 134 (Florida).

The current practice location address for Jared M Lewis is 906 Dixon Blvd, Cocoa, FL and can be reached out via phone at 321-632-1116 and via fax at 321-632-4994.

Location: 906 Dixon Blvd, Cocoa, FL, 32922-6890
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720045768
Provider Name
Jared M Lewis
Credential
Provider Entity Type
Organization
Address
906 Dixon Blvd, Cocoa, FL, 32922-6890
Phone Number
321-632-1116
Fax Number
321-632-4994
Provider Enumeration Date
04/26/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
906 Dixon Blvd
City
Cocoa
State
Florida
Zip
32922-6890
Phone Number
321-632-1116
Fax Number
321-632-4994
person
Provider Business Mailing Address Details
Address
906 Dixon Blvd
City
Cocoa
State
Florida
Zip
32922-6890
Phone Number
321-632-1116
Fax Number
321-632-4994
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
ORF 134 (Florida)
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 function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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