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Individual

PAUL L WINSLOW III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1649 W EAU GALLIE BLVD, SUITE 201, MELBOURNE, FL 32935-4160
(321) 622-5650
(321) 622-5645
Mailing address
1649 W EAU GALLIE BLVD, SUITE 201, MELBOURNE, FL 32935-4160
(321) 622-5650
(321) 622-5645

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME91061
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
270780200
FL
Enumeration date
05/12/2006
Last updated
12/19/2012
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