Individual
MAURICE WINNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1874 SE PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34952-5545
(772) 337-7676
(772) 337-9034
Mailing address
2695 SW BEAR PAW TRL, PALM CITY, FL 34990-7940
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OS8276
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268945600
—
FL
01
—
37594
BCBS OF FLORIDA
FL
Enumeration date
06/02/2006
Last updated
02/13/2012
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