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NPI Code Detail

MEDICARE: GARY WINFIELD MD

MEDICARE: GARY WINFIELD 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
1207Q00000XFamily Medicine PhysicianME51379FL

General Provider Information

NPI Number : 1649272295
Entity Type Code : Individual
Provider Name (Legal Business Name) : GARY WINFIELD MD
Provider Business Mailing Address
First Line : 630 JACKSONVILLE DR
Second Line :
City : JACKSONVILLE BEACH
State : FL
Zip : 32250-3814
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 630 JACKSONVILLE DR
Second Line :
City : JACKSONVILLE BEACH
State : FL
Zip : 32250-3814
Country : US
Telephone Number : 904-421-2119
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2005
Last Update Date : 07/08/2007

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Directions to “ GARY WINFIELD MD” Practice Location

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