DR. WANDA LEWIS


Address: 1330 Se 4th Ave Ste B, Fort Lauderdale, FL 33316-1958
Phone: 9544633804

DR. WANDA LEWIS (NPI# 1245252782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245252782
Entity Type Individual
Full Name DR. WANDA LEWIS
Credential M.D.
Practice Address 1330 Se 4th Ave Ste B
Fort Lauderdale
FL 33316-1958
Practice Telephone 9544633804
Practice Fax Number 9544633805
Mailing Telephone 9544633804
Mailing Fax Number 9544633805
Enumeration Date 2006-07-24
Last Update Date 2019-06-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine ME85702 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 007668900 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
2810 W Saint Isabel St, Suite 201, Tampa, FL 336076375 8138908004 8132909691

Other Providers WANDA LEWIS

NPI Name Taxonomy Address Enumeration
1346731866 Wanda M Lewis Nurse Practitioner 10112 Windy Knoll Ct, Clarkston, MI 48348-2182 2018-05-21
1124481866 Wanda Louise Lewis Counselor 8623 W. Wayne Rd., Suite 123, Westland, MI 48185 2016-03-31
1124424148 Wanda Lewis Physical Therapy Assistant 1740 Muscogee Rd, Cantonment, FL 32533-9110 2014-11-18
1922306737 Wanda Rachel Lewis Pharmacist 155 W California Blvd, Pasadena, CA 91105-3005 2011-03-02
1366608366 Wanda L Lewis Dentist 3524 N Hampton Rd, Dallas, TX 75212-2442 2008-07-30

Office Location

Street Address 1330 SE 4TH AVE STE B
City FORT LAUDERDALE
State FL
Zip Code 33316-1958

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720066822 Salvador Torres-torres Physician Assistant 1330 Se 4th Ave Ste B, Fort Lauderdale, FL 33316-1958 2006-01-09
1093217648 Andre T Kerr Physician Assistant 1330 Se 4th Ave Ste B, Fort Lauderdale, FL 33316 2018-02-28
1255760674 Beth Umansky Physician Assistant 1330 Se 4th Ave Ste B, Fort Lauderdale, FL 33316-1958 2013-11-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366064040 Jonathan David Ortiz Behavior Technician 1717 Se 4 Ave, Fort Lauderdale, FL 33316 2020-05-15
1306311626 Gateway Recovery Center, LLC Counselor 1421 Sw 4th Avenue, Suite B, Fort Lauderdale, FL 33316 2018-10-13
1588141626 Natan Bastoky Family Medicine 1600 S Andrews Ave # Gme, Fort Lauderdale, FL 33316 2018-07-22
1104320126 Kathleen Kanani Graham Pharmacist 1401 S. Federal Highway, Ft. Lauderdale, FL 33316 2018-03-23
1093224271 Lacosta Therapy, LLC Behavioral Analyst 412 Se 15 St., #4, Ft. Lauderdale, FL 33316 2017-09-20
1124560370 Yulia Rybalka Pharmacist 217 Se 10th Street, Ft Lauderdale, FL 33316 2016-11-04
1730635376 Brian Alexander Reyes Specialist/Technologist 303 Se 3rd Ave, Ft Lauderdale, FL 33316 2016-09-01
1649726282 Jennifer Tabares Specialist/Technologist 303 Southeast 3rd Av, Fort Lauderdale, FL 33316 2016-09-01
1609236850 Diane Nicole Shilling Nurse Practitioner 1001 South Andrews Avenue, Suite 100, Ft. Lauderdale, FL 33316 2016-03-01
1396113239 Victoria Rosado Adult Companion 150 Se 12th Street, 401(b), Fort Lauderdale, FL 33316 2015-09-09
Find all providers in zip 33316

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124667969 Icarevip, Inc Internal Medicine 4800 N. Federal Highway, Suite 200, Fort Lauderdale, FL 33308 2019-12-26
1033681218 Fleur De Lis Medical Management LLC Internal Medicine 824 Sw 10th St, Fort Lauderdale, FL 33315-1273 2018-12-27
1033627195 Taylor Schaubschlager Internal Medicine 533 Ne 3rd Ave Apt 315, Fort Lauderdale, FL 33301-3279 2018-01-11
1699297861 New York Medical Center Internal Medicine 3020 Ne 32nd Ave Ste 305, Fort Lauderdale, FL 33308-7204 2017-07-10
1669992590 Edgar Lizandro Bustamante Internal Medicine 4737 Ne 25th Ave Apt 106, Fort Lauderdale, FL 33308-4852 2017-06-21
1326577925 Rozina Parbtani Internal Medicine 2000 S Ocean Dr Apt 1105, Fort Lauderdale, FL 33316-3814 2017-06-07
1457891061 Nabir Mohan Babbar I Internal Medicine 1600 S Andrews Ave Fl 33316, Fort Lauderdale, FL 33316-2510 2017-03-01
1447707245 Sebastian U Perez Internal Medicine 4725 N Federal Hwy Ofc, Fort Lauderdale, FL 33308-4603 2016-09-09
1043763261 Sunil Ayyagari Md Pllc Internal Medicine 824 Ne 19th Ave, Fort Lauderdale, FL 33304-3081 2016-07-25
1043674062 Keith Harrison Rubin Internal Medicine 2100 N Ocean Blvd, Apt 501, Fort Lauderdale, FL 33305-1934 2016-04-06
Find all providers in FORT LAUDERDALE

Competitor

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City FORT LAUDERDALE
Zip Code 33316

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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