MEDICARE: MRS. WINNET JOY SMITH REID RN

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	163W00000X	Registered Nurse	RN1904292	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	RN1904292	OTHER	FL	REGISTERED NURSE

General Provider Information

NPI Number	:	1295723898
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. WINNET JOY SMITH REID RN

Provider Business Mailing Address
First Line	:	5374 NW 57TH AVE
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067-3506
Country	:	US
Telephone Number	:	954-341-4353
Fax Number	:

Provider Business Practice Location Address
First Line	:	4800 LINTON BLVD
Second Line	:	E300
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-6584
Country	:	US
Telephone Number	:	561-495-1973
Fax Number	:	561-495-2097

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

Provider Enumeration Date	:	10/09/2005
Last Update Date	:	07/08/2007

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