Healthcare Provider Details

I. General information

NPI: 1730575606
Provider Name (Legal Business Name): LAYNE S WINKER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2015
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8296 SYCAMORE DR
NEW PORT RICHEY FL
34654-5631
US

IV. Provider business mailing address

8296 SYCAMORE DR
NEW PORT RICHEY FL
34654-5631
US

V. Phone/Fax

Practice location:
  • Phone: 727-698-7834
  • Fax: 321-472-2614
Mailing address:
  • Phone: 727-698-7834
  • Fax: 321-472-2614

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA9109376
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: