MEDICARE: DR. ADAM WINTON M.D., D.D.S.

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	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	DN 16882	FL

General Provider Information

NPI Number	:	1144223777
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADAM WINTON M.D., D.D.S.

Provider Business Mailing Address
First Line	:	1201 E SAMPLE RD
Second Line	:	STE 101
City	:	POMPANO BEACH
State	:	FL
Zip	:	33064-6242
Country	:	US
Telephone Number	:	954-785-8555
Fax Number	:	954-785-8367

Provider Business Practice Location Address
First Line	:	1201 E SAMPLE RD
Second Line	:	STE 101
City	:	POMPANO BEACH
State	:	FL
Zip	:	33064-6242
Country	:	US
Telephone Number	:	954-785-8555
Fax Number	:	954-785-8367

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

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	07/08/2007

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