Organization · Type 2 NPI

Jared M Lewis

Prosthetic/Orthotic Supplier · Cocoa, FL

NPI number 1720045768 Active

Practice location

906 Dixon Blvd
Cocoa, FL 32922-6890

Fax (321) 632-4994

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000XORF 134 (FL)

Prosthetic/Orthotic Supplier: 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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About NPI 1720045768

Jared M Lewis's National Provider Identifier is 1720045768, issued on Apr 26, 2006. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Cocoa, FL. The record was last updated on Aug 22, 2020.