Individual
NICOLE MICHELLE WINNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
6611 SW 81ST ST, GAINESVILLE, FL 32608-7507
(352) 727-8321
Mailing address
6611 SW 81ST ST, GAINESVILLE, FL 32608-7507
(352) 727-8321
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
FL
174400000X
Specialist
—
—
Other
Enumeration date
12/01/2008
Last updated
04/15/2019
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