Provider Demographics
NPI:1154555480
Name:LEWIS H. SEMEL MD PA
Entity type:Organization
Organization Name:LEWIS H. SEMEL MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:LEWIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SEMEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-395-7494
Mailing Address - Street 1:630 GLADES RD
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-6414
Mailing Address - Country:US
Mailing Address - Phone:561-395-7494
Mailing Address - Fax:561-395-7806
Practice Address - Street 1:630 GLADES RD
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-6414
Practice Address - Country:US
Practice Address - Phone:561-395-7494
Practice Address - Fax:561-395-7806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-14
Last Update Date:2009-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME80963207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG11481Medicare UPIN
FL51743Medicare PIN