PETER A LEWIS INTERNAL MEDICINE PLUS, PL
Osteopathic Medicine at Mason Corbin Ct, Fort Myers, FL

License number
Florida ME82915
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. PETER ADOLPHUS LEWIS MD
Title: PRESIDENT
Phone: (239) 274-0200
Address
Address
5172 Mason Corbin Ct SUITE 3, Fort Myers, FL 33907
National Provider ID: 1164693446
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PETER A. LEWIS INTERNAL MEDICINE PLUS, P.L

Fort Myers, FL  -  Cape Coral, FL

Industry:
Medical Doctor's Office
Doing business as:
Peter A Lewis MD
Registration:
Jan 5, 2005
Addresses:
5172 Mason Corbin Ct SUITE 3, Fort Myers, FL 33907 (Physical)
308 SE 21 Ter, Cape Coral, FL 33990 (Mailing)
State ID:
L05000001240
Business type:
Florida Limited Liability Company
Managing Member, Medical Doctor, President:
Peter A Lewis (Managing Member, Medical Doctor, President), 308 SE 21 Ter, Cape Coral, FL 33990 (Physical)
Agent:
Peter Lewis,308 SE 21 Ter, Cape Coral, FL 33990 (Physical)
EIN:
20-2154711

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