Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VE0102X | Reproductive Endocrinologist | 048401 | GA |
Y | 207VE0102X | Reproductive Endocrinologist | 47697 | FL |
NPI | 1508848201 |
---|---|
Provider Name | Dr. Kevin L. Winslow |
First Address | Jacksonville, FL 32207-8334 |
Second Address | Jacksonville, FL 32207-8334 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D20920 | (02) | FL |