Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | DN25704 | FL |
NPI | 1063825677 |
---|---|
Provider Name | Dr. Daniel Winokur |
First Address | Naples, FL 34103-4243 |
Second Address | Naples, FL 34103-4243 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2014 |
Last Update Date | 17/12/2021 |