Most Relevant Information
Provider Data
| NPI Number: | 1003533217 |
| Provider Name: | TASHANA LEWIS |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 11021965 |
Most Important Dates
| Enumeration Date: | 10/27/2022 |
| Last Updated: | 10/27/2022 |
Provider Practice Location
3160 SOUTHGATE COMMERCE BLVD
ORLANDO
FL
328068549
Practice Location Phone/Fax
| Phone: | 4078578860 |
| Fax: |
Provider Mailing Location
3900 SW 52ND AVE UNIT 804
HOLLYWOOD
FL
330236932
Provider Mailing Phone/Fax
| Phone: | 9542929332 |
| Fax: |