Individual
DR. KEITH ALLEN WINTERMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
610 MOCKINGBIRD LN, PLANTATION, FL 33324-3402
(954) 336-3722
Mailing address
610 MOCKINGBIRD LN, PLANTATION, FL 33324-3402
(954) 336-3722
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0046629
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04746
BLUE SHIELD
FL
05
—
592013191
—
FL
01
—
ME0046629
MEDICAL LICENSE NUMBER
FL
Enumeration date
01/02/2007
Last updated
03/07/2023
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