MEDICARE: YVONNE FRANCIS WIND PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	PA3090	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124164918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YVONNE FRANCIS WIND PA

Provider Business Mailing Address
First Line	:	2301 WILTON DR
Second Line	:
City	:	WILTON MANORS
State	:	FL
Zip	:	33305-1202
Country	:	US
Telephone Number	:	954-567-5898
Fax Number	:

Provider Business Practice Location Address
First Line	:	1613 ALTON RD
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-2420
Country	:	US
Telephone Number	:	305-538-1400
Fax Number	:	305-538-6803

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	08/16/2012

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