Lewellyn, Brett J
Lewellyn, Brett J is an individual health care provider with primary practice located at 1222 S Orange Ave , Orlando FL 32806-1215. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Lewellyn, Brett J can be contacted via phone (321) 843-4800.Contact Information
Primary practice address
1222 S Orange Ave
Orlando FL 32806-1215
Phone: (321) 843-4800
Fax: (321) 843-2172
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ME107935 | Florida |
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | ME107935 | Florida |
Profile Details
| NPI number | 1629229208 |
|---|---|
| LBN Legal business name | Lewellyn, Brett J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 1st, 2008 |
| Last updated | Nov 14th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629229208 | NPPES |
| Florida | MEDICAID | 005919900 | |
| Florida | Other | ME107935 |
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