IndividualActive
Jared Lewis
NPI 1396594941 · Peer Specialist · Cocoa, FL
Provider details
- NPI number
- 1396594941
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- CRPS.0101359-P (FL)
Specialties & taxonomies
Other Service Providers
Practice location
255 Dryden Cir
Cocoa, FL 32926-2481
Phone: (321) 412-0577
Fax: (321) 978-9280
Approximate (ZIP-level) locationGet directions
Mailing address
255 Dryden Cir
Cocoa, FL 32926-2481
Registry dates
- Enumerated
- 2024-05-16
- Last updated
- 2024-05-16
- Certified
- 2024-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.