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NPI Code Detail

MEDICARE: DR. LOUIS WITONSKY MD

MEDICARE: DR. LOUIS WITONSKY 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
1207R00000XInternal Medicine PhysicianME0036948FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2ME0036948OTHERFLMEDICAL LICENSE

General Provider Information

NPI Number : 1497709620
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LOUIS WITONSKY MD
Provider Business Mailing Address
First Line : 4960 SW 72ND AVE
Second Line : SUITE 406
City : MIAMI
State : FL
Zip : 33155-5544
Country : US
Telephone Number : 305-662-5200
Fax Number : 305-284-7948
Provider Business Practice Location Address
First Line : 9030 KIMBERLY BLVD
Second Line :
City : BOCA RATON
State : FL
Zip : 33434-2823
Country : US
Telephone Number : 561-488-2300
Fax Number : 561-487-6704
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2006
Last Update Date : 03/07/2023

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