Provider Demographics
NPI:1154366979
Name:LEWIS APTER M.D.
Entity type:Organization
Organization Name:LEWIS APTER M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEWIS
Authorized Official - Middle Name:
Authorized Official - Last Name:APTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-393-3294
Mailing Address - Street 1:11200 SEMINOLE BLVD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33778-3259
Mailing Address - Country:US
Mailing Address - Phone:727-393-3294
Mailing Address - Fax:727-397-7036
Practice Address - Street 1:11200 SEMINOLE BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33778-3259
Practice Address - Country:US
Practice Address - Phone:727-393-3294
Practice Address - Fax:727-397-7036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0015616302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD56295Medicare UPIN
FL52861Medicare ID - Type Unspecified