Individual
LAWRENCE WINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21150 BISCAYNE BLVD, 404, AVENTURA, FL 33180-1226
(305) 466-9111
(305) 466-9127
Mailing address
2234 COLONIAL BLVD, MANAGED CARE DEPT, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME10402
FL
208800000X
Urology Physician
Primary
ME0010402
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047513100
—
FL
01
—
1193520
WELLCARE
FL
01
—
4068077
AETNA PROVIDER #
FL
01
—
90635
BCBS FL
FL
01
—
P0003169
FLORIDA HEALTHCARE PLUS
FL
01
—
P00721040
RAILROAD MEDICARE
FL
01
—
WELLCARE
1193520
FL
Enumeration date
04/10/2006
Last updated
05/02/2016
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