MEDICARE: TERRELL PAUL WINKLER MD

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	208800000X	Urology Physician	ME47696	FL

General Provider Information

NPI Number	:	1265587232
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERRELL PAUL WINKLER MD

Provider Business Mailing Address
First Line	:	4001 NORTH OCEAN DRIVE
Second Line	:	SUITE 203
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-5968
Country	:	US
Telephone Number	:	954-491-5511
Fax Number	:

Provider Business Practice Location Address
First Line	:	4001 NORTH OCEAN DRIVE
Second Line	:	SUITE 203
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-5968
Country	:	US
Telephone Number	:	954-491-5511
Fax Number	:

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

Provider Enumeration Date	:	01/23/2007
Last Update Date	:	07/08/2007

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