Lewis, Tracey L

Lewis, Tracey L is an sole proprietor health care provider with primary practice located at 442 W Kennedy Blvd Ste 280 , Tampa FL 33606-1464. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Lewis, Tracey L can be contacted via phone (813) 467-6111.

Contact Information

Primary practice address
442 W Kennedy Blvd Ste 280 Tampa FL 33606-1464
Phone: (813) 467-6111
Fax: (813) 467-6013
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME109860 Florida

Profile Details

NPI number 1285626291
LBN Legal business name Lewis, Tracey L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2005
Last updated Oct 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 1285626291 NPPES
Florida Other GE491Z MEDICARE PTAN
Florida Other K1033A MEDICARE PTAN

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