Individual
LEE WINANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 S 23RD ST, FORT PIERCE, FL 34950-4803
(772) 468-4551
Mailing address
1700 S 23RD ST, FORT PIERCE, FL 34950-4803
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
55999
GA
207P00000X
Emergency Medicine Physician
Primary
ME98688
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
316643965A
—
GA
01
—
967530
BLUE CROSS BLUE SHIELD
GA
05
—
G55999
—
SC
01
—
P00237267
RAILROAD
GA
Enumeration date
05/17/2006
Last updated
03/07/2023
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