MEDICARE: MS. LAUREN JENNIE WINSTEN PA-C

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	363A00000X	Physician Assistant	0110010541	VA
2	363A00000X	Physician Assistant	PA9109037	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1518338516
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LAUREN JENNIE WINSTEN PA-C

Provider Business Mailing Address
First Line	:	600 S PINE ISLAND RD
Second Line	:	STE 300
City	:	PLANTATION
State	:	FL
Zip	:	33324-3166
Country	:	US
Telephone Number	:	954-473-6344
Fax Number	:	954-476-9077

Provider Business Practice Location Address
First Line	:	3000 BAYVIEW DR
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33306-1772
Country	:	US
Telephone Number	:	954-567-1332
Fax Number	:

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

Provider Enumeration Date	:	10/15/2015
Last Update Date	:	06/03/2025

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