Individual
DR. FAWN WINKELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1905 CLINT MOORE RD, SUITE 203, BOCA RATON, FL 33496-2658
(561) 826-6650
Mailing address
1905 CLINT MOORE RD, SUITE 203, BOCA RATON, FL 33496-2658
(561) 826-6650
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
OS 11629
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
II878Z
MEDICARE PTAN
FL
Enumeration date
08/27/2010
Last updated
11/19/2015
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