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Individual

MS. NADINE MARIE WOINOSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3049 CLEVELAND AVE, SUITE 269, FORT MYERS, FL 33901-7041
(703) 424-0354
Mailing address
1243 SLASH PINE CIR, #124, PUNTA GORDA, FL 33950-2292
(941) 286-8897

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1073871208
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
011132100
FL
Enumeration date
11/05/2014
Last updated
11/05/2014
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