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NPI Code Detail

MEDICARE: DOROTHEA MARIE PHILLIPS WINTER

MEDICARE: DOROTHEA MARIE PHILLIPS WINTER
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
1103K00000XBehavior Analyst1-20-45655FL

Other Identifiers

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

General Provider Information

NPI Number : 1659891315
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOROTHEA MARIE PHILLIPS WINTER
Provider Business Mailing Address
First Line : 12545 DRAKEFIELD DR
Second Line :
City : SPRING HILL
State : FL
Zip : 34610-6535
Country : US
Telephone Number : 813-263-6761
Fax Number :
Provider Business Practice Location Address
First Line : 2912 SW 34TH AVE
Second Line :
City : OCALA
State : FL
Zip : 34474-3364
Country : US
Telephone Number : 813-255-5652
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2017
Last Update Date : 01/07/2025

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