Individual
JEFFREY C WINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
807 CHILDRENS WAY, JACKSONVILLE, FL 32207-8426
(904) 697-3032
(904) 697-3011
Mailing address
PO BOX 191, PROVIDER ENROLLMENT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
L-235943
MA
208000000X
Pediatrics Physician
MD039463
DC
208M00000X
Hospitalist Physician
Primary
ME124822
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015243000
—
FL
Enumeration date
06/09/2008
Last updated
09/17/2015
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