| Entity Name: | DRS. LEWIS AND LEWIS, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 22 Oct 1998 (26 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 24 Apr 2006 (19 years ago) |
| Document Number: | P98000090298 |
| FEI/EIN Number | 593537058 |
| Address: | 650 N. WYMORE RD., STE 202, WINTER PARK, FL, 32789 |
| Mail Address: | 650 N. WYMORE RD., STE 202, WINTER PARK, FL, 32789 |
| ZIP code: | 32789 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073548053 | 2006-07-11 | 2008-05-05 | 650 N WYMORE RD, SUITE 202, WINTER PARK, FL, 327892859, US | 650 N WYMORE RD, SUITE 202, WINTER PARK, FL, 327892859, US | |||||||||||||||||||||||||||||
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| Phone | +1 407-647-0199 |
| Fax | 4076470213 |
Authorized person
| Name | MISS RACHEL KRISHANTHI LEWIS |
| Role | OFFICE MANAGER |
| Phone | 4076474853 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 213E00000X - Podiatrist |
| Is Primary | No |
| Taxonomy Code | 213ES0103X - Foot & Ankle Surgery Podiatrist |
| Is Primary | No |
Other Provider Identifiers
| Issuer | RAILROAD MEDICARE |
| Number | DG2279 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LEWIS GIDEON G | Agent | 650 N. WYMORE RD., WINTER PARK, FL, 32789 |
| Name | Role | Address |
|---|---|---|
| LEWIS GIDEON GDr. | Officer | 1564 Foxden Rd, Apopka, FL, 32712 |
| LEWIS DELORES E | Officer | 1564 FOXDEN RD., APOPKA, FL, 32712 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2010-02-02 | 650 N. WYMORE RD., STE 202, WINTER PARK, FL 32789 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-03-24 | 650 N. WYMORE RD., STE 202, WINTER PARK, FL 32789 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-03-24 | 650 N. WYMORE RD., SUITE 202, WINTER PARK, FL 32789 | No data |
| NAME CHANGE AMENDMENT | 2006-04-24 | DRS. LEWIS AND LEWIS, P.A. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-28 |
| ANNUAL REPORT | 2023-02-01 |
| ANNUAL REPORT | 2022-02-27 |
| ANNUAL REPORT | 2021-02-27 |
| ANNUAL REPORT | 2020-03-09 |
| ANNUAL REPORT | 2019-04-18 |
| ANNUAL REPORT | 2018-04-07 |
| ANNUAL REPORT | 2017-01-07 |
| ANNUAL REPORT | 2016-01-25 |
| ANNUAL REPORT | 2015-01-15 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
