Lewis, Martin Gwent

Lewis, Martin Gwent is an sole proprietor health care provider with primary practice located at 6501 Pasadena Avenue, North , St. Petersburg FL 33710. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Lewis, Martin Gwent can be contacted via phone (727) 343-3545.

Contact Information

Primary practice address
6501 Pasadena Avenue, North St. Petersburg FL 33710
Phone: (727) 343-3545
Fax: (727) 343-3681
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X ME43645 Florida

Profile Details

NPI number 1326070962
LBN Legal business name Lewis, Martin Gwent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2006
Last updated Feb 8th, 2012 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326070962 NPPES
Florida MEDICAID 257906500

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