IndividualActive
Michael Lewis, IDC
NPI 1336342591 · Independent Duty Corpsman · Panama City, FL
Provider details
- NPI number
- 1336342591
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
321 Bullfinch Rd
Panama City, FL 32407-7012
Phone: (850) 230-3236
Fax: (850) 230-3234
Approximate (ZIP-level) locationGet directions
Mailing address
2722 Wakulla Ave
Panama City, FL 32405-7085
Registry dates
- Enumerated
- 2007-06-06
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.