Individual
STEPHEN EDWARD WINIKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14540 OLD SAINT AUGUSTINE RD STE 2571, JACKSONVILLE, FL 32258-7420
(904) 886-2251
Mailing address
11945 SAN JOSE BLVD STE 300, JACKSONVILLE, FL 32223-1627
(904) 396-1725
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
22925
WV
208600000X
Surgery Physician
Primary
ME179677
FL
2086X0206X
Surgical Oncology Physician
22925
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010158540
BLUE SHIELD OF IDAHO
—
01
—
001994184
MOUNTAIN STATE BLUE CROSS
WV
01
—
0211573
LABOR & INDUSTRIES
—
01
—
22925
HEALTH PLAN OF THE UPPER
WV
05
—
3810010434
—
WV
01
—
7608856
AETNA
—
01
—
7676WI
ASURIS NW HEALTH
—
05
—
807570700
—
ID
05
—
8458754
—
WA
01
—
KAV65
BLUE CROSS OF IDAHO
—
Enumeration date
07/18/2006
Last updated
03/31/2026
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