Individual provider · Type 1 NPI

Gideon Jawaharlal Lewis, D.P.M

Foot & Ankle Surgery Podiatrist · Winter Park, FL

NPI number 1871572206 Active

Practice location

650 N Wymore Rd, Suite 202
Winter Park, FL 32789-2859

Fax (407) 647-0213

Specialties and licenses

TaxonomyCodeLicense
Podiatrist 213E00000XPO3239 (FL)
Primary Podiatric Medicine Podiatrist 213EP1101XPO3239 (FL)
Radiology Podiatrist 213ER0200XPO3239 (FL)
Sports Medicine Podiatrist 213ES0000XPO3239 (FL)
Foot & Ankle Surgery Podiatrist Primary 213ES0103XPO3239 (FL)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1871572206

Gideon Jawaharlal Lewis, D.P.M's National Provider Identifier is 1871572206, issued on Jan 13, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Winter Park, FL. The record was last updated on Apr 28, 2008.