Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 8074 | MT |
N | 208600000X | Surgeon | 8074 | MT |
N | 208G00000X | Cardiothoracic Vascular Surgeon | 11659 | ND |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | ME108817 | FL |
NPI | 1114960770 |
---|---|
Provider Name | Barry L. Winton |
First Address | St Petersburg, FL 33709-2148 |
Second Address | Largo, FL 33770-2282 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2006 |
Last Update Date | 16/02/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003098800 | (05) | FL |
1114960770 | (05) | MN |
15284 | (05) | ND |
P01364510 | RR MEDICARE (01) | FL |