Provider Demographics
NPI:1407988249
Name:ADRIAN LEWIS, M.D.,P.A.
Entity Type:Organization
Organization Name:ADRIAN LEWIS, M.D.,P.A.
Other - Org Name:AUTO INJURY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-374-2818
Mailing Address - Street 1:4410 W NEWBERRY RD STE A3
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-2290
Mailing Address - Country:US
Mailing Address - Phone:352-374-2818
Mailing Address - Fax:352-376-4094
Practice Address - Street 1:4410 W NEWBERRY RD STE A3
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-2290
Practice Address - Country:US
Practice Address - Phone:352-374-2818
Practice Address - Fax:352-376-4094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME38882225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Single Specialty