Ellieton Bobby Lewis
NPI #1487203469 in Miami Gardens, Florida
Provider Information
- NPI Number
- 1487203469
- Entity Type
- Individual
- Name
- Ellieton Bobby Lewis
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor
- Enumeration Date
- Sep 11, 2019
- Last Updated
- Sep 11, 2019
Practice Location
- Address
- 1825 NW 167TH ST
- City
- Miami Gardens
- State
- Florida
- ZIP Code
- 33056-4838
- Phone
- (786) 263-3392
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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