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NPI Code Detail

MEDICARE: LUKE WINTER

MEDICARE: LUKE WINTER
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
1390200000XStudent in an Organized Health Care Education/Training ProgramFL
2367500000XCertified Registered Nurse Anesthetist1230047TX

General Provider Information

NPI Number : 1245930031
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUKE WINTER
Provider Business Mailing Address
First Line : 7685 SE HILLTOP TER
Second Line :
City : HOBE SOUND
State : FL
Zip : 33455-4730
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1210 S OLD DIXIE HWY
Second Line :
City : JUPITER
State : FL
Zip : 33458-7205
Country : US
Telephone Number : 561-263-2234
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2023
Last Update Date : 06/30/2026

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