LEWIS JACKSON DORRANCE


Address: 2401 Frist Blvd, #7, 9 & 10, Fort Pierce, FL 34950-4800
Phone: 7724660088

LEWIS JACKSON DORRANCE (NPI# 1467549105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467549105
Entity Type Individual
Full Name LEWIS JACKSON DORRANCE
Credential PA-C
Practice Address 2401 Frist Blvd
#7, 9 & 10
Fort Pierce
FL 34950-4800
Practice Telephone 7724660088
Practice Fax Number 7724608555
Mailing Telephone 7724660088
Mailing Fax Number 7724608555
Enumeration Date 2006-10-06
Last Update Date 2013-03-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA 2335 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL STATE LICENCE NUMBER PA 2335 01

Office Location

Street Address 2401 FRIST BLVD
#7, 9 & 10
City FORT PIERCE
State FL
Zip Code 34950-4800

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487659603 Jay Ira Schorr Specialist 2401 Frist Blvd, Ste 1, Fort Pierce, FL 34950-4800 2005-06-15
1700447737 Allison Wrieden Physician Assistant 2401 Frist Blvd, Fort Pierce, FL 34950-4839 2019-06-20
1144657180 Florida Pain & Rehabilitation Institute Inc Physical Medicine & Rehabilitation 2401 Frist Blvd, Suite 9, Fort Pierce, FL 34950-4839 2013-10-05
1730445834 Anum Corporation Family Medicine 2401 Frist Blvd, Suite 1 & 2, Fort Pierce, FL 34950-4831 2012-04-03
1184903171 Laura Benalcazar Physical Therapy Assistant 2401 Frist Blvd, Fort Pierce, FL 34950-4839 2011-08-09
1134407893 Kristin Gates Murray Physical Therapy Assistant 2401 Frist Blvd, Suite#7, Fort Pierce, FL 34950-4839 2011-07-29
1306147327 Humayun Shareef Md Pa Family Medicine 2401 Frist Blvd, Ste 1, Fort Pierce, FL 34950-4839 2010-11-08
1902122963 William Raymond Holt Jr. Physical Therapist 2401 Frist Blvd, Suite 7, Fort Pierce, FL 34950-4839 2010-04-15
1861718835 Melonie Durkin Nurse Practitioner 2401 Frist Blvd, Suite 4, Fort Pierce, FL 34950-4839 2010-04-15
1881838340 Drahmane Kaba Physical Medicine & Rehabilitation 2401 Frist Blvd, Suite I, Fort Pierce, FL 34950-4839 2009-04-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659853018 New Day Counseling & Wellness, LLC Clinic/Center 130 S Indian River Drive Suite 202, Fort Pierce, FL 34950 2018-09-03
1548749351 Jaber's Pharmacy, Inc. Pharmacy 2210 Orange Ave, Fort Pierce, FL 34950 2018-08-13
1386139699 Pas Substance Abuse, Inc. Substance Abuse Rehabilitation Facility 2017 Avenue D, Fort Pierce, FL 34950 2018-06-28
1629573134 Southeastern Dme LLC Durable Medical Equipment & Medical Supplies 200 S Indian River Dr Ste 300, Fort Pierce, FL 34950 2018-03-27
1962903666 Serenity Dme LLC Durable Medical Equipment & Medical Supplies 111 N 2nd St Ste 101, Fort Pierce, FL 34950 2018-02-27
1417463068 Ryan Nippes Counselor 1302 N Lawnwood Cr, Suite B, Fort Pierce, FL 34950 2017-12-19
1639685282 Valencia Worrell Counselor 1302 N Lswnwood Cr, Suite B, Fort Pierce, FL 34950 2017-12-19
1194173153 Angel French Massage Therapist 101 North Us1, Suite 117, Fort Pierce, FL 34950 2016-06-01
1780052951 Alison Hess Physician Assistant 1700 S. 23rd St, Fort Pierce, FL 34950 2015-09-04
1629329784 Dr. Rhaina A Smeds, Psyd Inc. Psychologist 100 Ave A, Ste 2d, Ft. Pierce, FL 34950 2012-09-28
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982075578 Brandon Drew Anders Physician Assistant 2402 Frist Blvd Ste 102&103, Fort Pierce, FL 34950-4838 2015-10-08
1255813911 David Mcneely Roberts Physician Assistant 2401 Frist Blvd Ste 4, Fort Pierce, FL 34950 2018-08-29
1417099441 Shakeel C Sharif Physician Assistant 1700 S 23rd St, Fort Pierce, FL 34950-4803 2007-02-13
1356494777 Keyes Surgical Assist Inc Physician Assistant 1700 S 23rd St, Fort Pierce, FL 34950-4803 2007-01-19

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NPI Name Taxonomy Address Enumeration
1811598691 Monica Nancy Ginocchio Physician Assistant 1020 Crosspointe Dr Ste 110, Naples, FL 34110-0918 2020-11-06
1427657055 Alyson Ryall Physician Assistant 480 Ventura Pl, Vero Beach, FL 32963-4262 2020-10-24
1104436476 Forrest Joseph Steslow Physician Assistant 1971 Brandywine Rd Apt 305, West Palm Beach, FL 33409-6800 2020-08-03
1063039576 Joshua Bras Prewitt Physician Assistant 4800 Linton Blvd Ste 201, Delray Beach, FL 33445-6584 2020-06-30
1003443904 Sheila Rhinehart Physician Assistant 981 Tarpon Ave, Sebastian, FL 32958-5147 2020-03-23
1952932493 Lisel Spieler Physician Assistant 1173 Fins Up Ct, Daytona Beach, FL 32124-3719 2020-02-03
1326685991 Nikolai X Lincavage Physician Assistant 29277 Us Highway 19 N # 29277, Clearwater, FL 33761-2102 2019-12-03
1356984686 Zane K Jude Physician Assistant 1775 Linton Lake Dr, Delray Beach, FL 33445-6927 2019-10-18
1720635998 Jose R Munoz Physician Assistant 4801 Esedra Ct Apt 203, Lake Worth, FL 33467-5019 2019-08-22
1811559578 Sydney Gillen Physician Assistant 1222 S Orange Ave Fl 2, Orlando, FL 32806-1215 2019-07-02
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Competitor

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City FORT PIERCE
Zip Code 34950

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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