Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | 012091 | FL |
NPI | 1093830911 |
---|---|
Provider Name | Dr. David Craig Winer |
First Address | Sunny Isles Beach, FL 33160-2295 |
Second Address | Sunny Isles Beach, FL 33160-2295 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2007 |
Last Update Date | 08/07/2007 |