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Individual

ROBERT KENNETH WINEGAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
1991 HYDE PARK ST, SARASOTA, FL 34239-3600
(941) 953-4313
(941) 954-8631
Mailing address
1991 HYDE PARK ST, SARASOTA, FL 34239-3600
(941) 953-4313
(941) 954-8631

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
6215
FL
103TC0700X
Clinical Psychologist
6215
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
279833
STAYWELL/HEALTHEASE/WELLC
FL
01
54586
BCBS
FL
01
7006202
AETNA
FL
05
768885700
FL
Enumeration date
01/13/2007
Last updated
08/19/2011
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