Healthcare Provider Details

I. General information

NPI: 1295723898
Provider Name (Legal Business Name): WINNET JOY SMITH REID RN
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/09/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 LINTON BLVD E300
DELRAY BEACH FL
33445-6584
US

IV. Provider business mailing address

5374 NW 57TH AVE
CORAL SPRINGS FL
33067-3506
US

V. Phone/Fax

Practice location:
  • Phone: 561-495-1973
  • Fax: 561-495-2097
Mailing address:
  • Phone: 954-341-4353
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN1904292
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: