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
Mailing address255 Dryden Cir, Cocoa, FL 32926-2481

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