| Bennett A Lewis D O Pa | |
|
1501 Presidential Way Suite 20 West Palm Beach FL 33401-1800 | |
| (561) 471-2844 | |
| (561) 471-8128 |
| Full Name | Bennett A Lewis D O Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1501 Presidential Way, West Palm Beach, Florida |
| Authorized Official Name and Position | Bennett A Lewis (PRESIDENT) |
| Authorized Official Contact | 5614712844 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bennett A Lewis D O Pa 1501 Presidential Way Suite 20 West Palm Beach FL 33401-1800 Ph: (561) 471-2844 | Bennett A Lewis D O Pa 1501 Presidential Way Suite 20 West Palm Beach FL 33401-1800 Ph: (561) 471-2844 |
| NPI Number | 1407173651 |
|---|---|
| Provider Enumeration Date | 04/28/2010 |
| Last Update Date | 04/28/2010 |
| Medicare PECOS PAC ID | 9931225398 |
|---|---|
| Medicare Enrollment ID | O20100923000512 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407173651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Bennett A Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508870304 PECOS PAC ID: 9537285978 Enrollment ID: I20100923000307 |
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