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

Dr. Mallory Diane Lewis, DO

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1588192520

Dr. Mallory Diane Lewis, DO is a Family Practice in Pace, Florida. Graduated from University of North Texas Hsc, College of Osteopathic Med in 2017, 9 years ago. Practices with Hawaii Permanente Medical Group Inc, a 705-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
9
Trained at
University of North Texas Hsc, College of Osteopathic Med
Licensed in
FL
In the registry since
2017
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

3754 Highway 90 Ste 300
Pace, FL 32571-1098
Phone: (850) 416-5510
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS17878 (FL)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence OS17878 (FL)

Record details

NPI number1588192520
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 2, 2017
Last updated in NPPESSeptember 13, 2021
Certification dateSeptember 13, 2021
Mailing address4205 Belfort Rd Ste 4015, Jacksonville, FL 32216-3623

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduated 2017 (9 years in practice)
Group practice Hawaii Permanente Medical Group Inc — 705 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount