Individual provider · Type 1 NPI

Connor Lewellen

Surgical Physician Assistant · Orlando, FL

NPI number 1679279012 Active

Practice location

7243 Della Dr Fl 3
Orlando, FL 32819-5104

Call (321) 843-5851 Map

Fax (321) 842-0089

Mailing address

7243 Della Dr
Orlando, FL 32819-5104

Other practice locations

  • 1236 Tidewater Ct, Bradenton, FL 34208-5724 · (941) 224-5313

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Surgical Physician Assistant Primary 363AS0400XPA9117576 (FL)

Surgical Physician Assistant: Definition to come...

16 other providers at this address

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About NPI 1679279012

Connor Lewellen's National Provider Identifier is 1679279012, issued on Feb 7, 2023. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Orlando, FL. The record was last updated on Feb 5, 2024.