Individual
SAMUEL WINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1813 W NEW HAVEN AVE, WEST MELBOURNE, FL 32904-3930
(321) 951-2220
(321) 722-4754
Mailing address
1813 W NEW HAVEN AVE, WEST MELBOURNE, FL 32904-3930
(321) 951-2220
(321) 722-4751
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OP1132
FL
Other
Enumeration date
06/15/2009
Last updated
06/15/2009
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