Lewis, Scott A

Lewis, Scott A is an individual health care provider with primary practice located at 2000 Centre Pointe Blvd , Tallahassee FL 32308-4894. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Lewis, Scott A can be contacted via phone (850) 309-0400.

Contact Information

Primary practice address
2000 Centre Pointe Blvd Tallahassee FL 32308-4894
Phone: (850) 309-0400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9109674 Florida
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 003402 Georgia

Profile Details

NPI number 1609847714
LBN Legal business name Lewis, Scott A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Jan 11th, 2021 - about 5 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 1609847714 NPPES
Georgia MEDICAID 295460765A
Georgia Other 533798
Georgia MEDICAID 295460765C
Georgia MEDICAID 295460765D

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