Provider Demographics
NPI:1487707436
Name:LEWIN, PAMELA ROSE (MD)
Entity type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:ROSE
Last Name:LEWIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1025 SW 1ST AVE
Mailing Address - Street 2:HEART OF FLORIDA HEALTH CENTER
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471
Mailing Address - Country:US
Mailing Address - Phone:352-732-6599
Mailing Address - Fax:352-732-4816
Practice Address - Street 1:1025 SW 1ST AVE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471
Practice Address - Country:US
Practice Address - Phone:352-732-6599
Practice Address - Fax:352-732-4816
Is Sole Proprietor?:No
Enumeration Date:2007-01-20
Last Update Date:2012-03-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME 0036262207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL066280100Medicaid
FL066280100Medicaid
FL080003362Medicare ID - Type UnspecifiedRAILROAD MEDICARE
FLD70644Medicare UPIN