MEDICARE: DR. PHILIP K WINKLER & ASSOC, P.A.

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	152W00000X	Optometrist	OPC 2001	FL

General Provider Information

NPI Number	:	1336294305
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. PHILIP K WINKLER & ASSOC, P.A.

Provider Business Mailing Address
First Line	:	2416 W BRANDON BLVD
Second Line	:
City	:	BRANDON
State	:	FL
Zip	:	33511-4717
Country	:	US
Telephone Number	:	813-684-7071
Fax Number	:

Provider Business Practice Location Address
First Line	:	2416 W BRANDON BLVD
Second Line	:
City	:	BRANDON
State	:	FL
Zip	:	33511-4717
Country	:	US
Telephone Number	:	813-684-7071
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. PHILIP KEITH WINKLER
Credential	:	O.D.
Telephone Number	:	813-684-7071

Provider Enumeration Date	:	01/23/2007
Last Update Date	:	01/06/2012

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