Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jared Mathias Lewis

Individual provider Peer Specialist · NPI 1396594941

Jared Mathias Lewis is a Peer Specialist in Cocoa, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2024

Practice location Address checks out

255 Dryden Cir
Cocoa, FL 32926-2481
Phone: (321) 412-0577
Fax: (321) 978-9280
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence CRPS.0101359-P (FL)

Record details

NPI number1396594941
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 16, 2024
Last updated in NPPESMay 16, 2024
Certification dateMay 16, 2024

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