Jared Mathias Lewis

NPI #1396594941 in Cocoa, Florida

Provider Information

NPI Number: 1396594941
Entity Type: Individual
Name: Jared Mathias Lewis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: May 16, 2024
Last Updated: May 16, 2024

Practice Location

Address: 255 DRYDEN CIR
City: Cocoa
State: Florida
ZIP Code: 32926-2481
Phone: (321) 412-0577

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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