Lewellyn, Jaime C
Lewellyn, Jaime C is an individual health care provider with primary practice located at 10000 Sw Innovation Way , Port St Lucie FL 34987-2111. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is her primary health care specialty. Lewellyn, Jaime C can be contacted via phone (772) 345-8100.Contact Information
Primary practice address
10000 Sw Innovation Way
Port St Lucie FL 34987-2111
Phone: (772) 345-8100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 3153 | Tennessee |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 3153 | Tennessee |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 21719 | Florida |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 21719 | Florida |
Profile Details
| NPI number | 1487064283 |
|---|---|
| LBN Legal business name | Lewellyn, Jaime C |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2014 |
| Last updated | Jan 17th, 2025 - about last year |
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 | 1487064283 | NPPES |
| Tennessee | MEDICAID | Q027984 |
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