Individual
EDWARD I WINOKUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3896 N FEDERAL HWY, LIGHTHOUSE POINT, FL 33064-6612
(954) 933-9600
(954) 781-9828
Mailing address
1608 SE 3RD AVE, THIRD FLOOR PBO, FORT LAUDERDALE, FL 33316-2564
(954) 933-9600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
030908
CT
207R00000X
Internal Medicine Physician
Primary
ME120041
FL
207RP1001X
Pulmonary Disease Physician
030908
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001309089
—
CT
01
—
010030908CT03
ANTHEM BCBS
—
Enumeration date
04/08/2006
Last updated
08/18/2016
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