Jared M Lewis

NPI #1720045768 in Cocoa, Florida

Provider Information

NPI Number
1720045768
Entity Type
Organization
Organization Name
Jared M Lewis
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Apr 26, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
906 DIXON BLVD
City
Cocoa
State
Florida
ZIP Code
32922-6890
Phone
(321) 632-1116

Authorized Official

Name
MR. JARED MATHIAS LEWIS, ORTHOTIC FITTER
Title
OWNER/ PRESIDENT
Phone
(321) 632-1116

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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