DR. FAWN WINKELMAN (NPI# 1700192796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700192796 |
Entity Type | Individual |
Full Name | DR. FAWN WINKELMAN |
Credential | DO |
Practice Address |
1905 Clint Moore Rd Suite 203 Boca Raton FL 33496-2658 |
Practice Telephone | 5618266650 |
Mailing Telephone | 5618266650 |
Enumeration Date | 2010-08-27 |
Last Update Date | 2015-11-19 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | OS 11629 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | MEDICARE PTAN | II878Z | 01 |
Street Address |
1905 CLINT MOORE RD SUITE 203 |
City | BOCA RATON |
State | FL |
Zip Code | 33496-2658 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831174242 | Brian K Kaplan | Internal Medicine | 1905 Clint Moore Rd, Suite 204, Boca Raton, FL 33496-2658 | 2005-12-08 |
1255970760 | Exillette Etienne Camille | Nurse Practitioner | 1905 Clint Moore Rd, Boca Raton, FL 33496-2658 | 2019-12-31 |
1578914800 | Jennifer Maria Gold | Physician Assistant | 1905 Clint Moore Rd, Suite 215, Boca Raton, FL 33496-2658 | 2016-06-28 |
1083073423 | Mr Health Group LLC | Clinic/Center | 1905 Clint Moore Rd, Ste 305, Boca Raton, FL 33496-2658 | 2016-02-13 |
1578932216 | Caroline E Rangel | Physician Assistant | 1905 Clint Moore Rd, Suite 309, Boca Raton, FL 33496-2658 | 2015-09-23 |
1083092829 | Central Palm Beach Physicians & Urgent Care Inc | Specialist | 1905 Clint Moore Rd, Suite 308, Boca Raton, FL 33496-2658 | 2015-05-13 |
1114304102 | Daniel S. Kovacs, M.d., P.a. | Plastic Surgery | 1905 Clint Moore Rd, Suite 101, Boca Raton, FL 33496-2658 | 2015-04-29 |
1497145957 | Stewart M. Kaskel M.d. | Internal Medicine | 1905 Clint Moore Rd, Ste 310, Boca Raton, FL 33496-2658 | 2015-02-04 |
1154735819 | Elite Dermatology and Aesthetic Institute, LLC | Family Medicine | 1905 Clint Moore Rd, Suite 203, Boca Raton, FL 33496-2658 | 2014-06-20 |
1427490002 | Cranial Technologies Inc | Prosthetic/Orthotic Supplier | 1905 Clint Moore Rd, Suite 301, Boca Raton, FL 33496-2658 | 2013-07-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275193708 | Georgia Management Group | Health Maintenance Organization | 9878 Clint Moore Rd Suite 206, Boca Raton, FL 33496 | 2019-06-17 |
1326505710 | Capital Ortho LLC | Durable Medical Equipment & Medical Supplies | 6599 Newport Lake Cir, Boca Raton, FL 33496 | 2019-02-21 |
1710409636 | Armando Rodriguez | Specialist/Technologist | 9975 Boca Gardens Trail, Unit C, Boca Raton, FL 33496 | 2017-07-12 |
1942721782 | Lang Thi Woodmansee | Optometrist | 17940 S Military Trl Ste 400, Boca Raton, FL 33496 | 2017-07-02 |
1710325006 | Home Care Assistance of South Florida, LLC | Home Health | 3050 Champion Blvd., Boca Raton, FL 33496 | 2013-06-07 |
1568704450 | Gary J Edman | Physician Assistant | 4705 N Federal Highway, Boca Raton, FL 33496 | 2013-03-19 |
1396065512 | Holiday Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 6651 N. Military Trail, Suite 100, Boca Raton, FL 33496 | 2010-06-10 |
1265765093 | Mark Alan Needle | Internal Medicine | 2231 Nw 58 St, Boca Raton, FL 33496 | 2009-09-11 |
1780834036 | Richard Allen Peshkin | General Practice | 5227-a Lake Catalina Dr. N, Boca Raton, FL 33496 | 2008-09-23 |
1073712071 | Ehsan Esmaeili | Surgery | 1905 Clint Moore Rd., Suite 105, Boca Raton, FL 33496 | 2007-07-11 |
Find all providers in zip 33496 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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1063078772 | The Health Institute, LLC. | General Practice | 6699 N Federal Hwy Ste 200, Boca Raton, FL 33487-1660 | 2019-05-17 |
1740792126 | My Md Urgent Care LLC | General Practice | 9834 Glades Rd Ste C5, Boca Raton, FL 33434-3981 | 2017-10-25 |
1265941710 | Marilyne Etienne | General Practice | 9235 Sw 2nd St, Boca Raton, FL 33428-4509 | 2017-09-28 |
1144673294 | Dar Medical Group LLC | General Practice | 6031 Town Colony Dr, Unit 113, Boca Raton, FL 33433-1949 | 2016-07-13 |
1598127516 | 24 Hr Virtual Md, LLC | General Practice | 701 Park of Commerce Blvd Ste 301, Boca Raton, FL 33487-3604 | 2016-03-29 |
1881026920 | Max Citrin | General Practice | 2061 Nw Boca Raton Blvd, Suite 106, Boca Raton, FL 33431-7411 | 2013-07-31 |
1386916732 | Arvid John Peterson | General Practice | 1400 Tamarind Way, Boca Raton, FL 33486 | 2012-02-01 |
1740551498 | Us Medical Care Inc | General Practice | 190 Glades Rd Ste E, Boca Raton, FL 33432-1642 | 2012-01-25 |
1548561574 | Medical Specialists Primary and Urgent Care Facility Inc | General Practice | 3251 N Federal Hwy, Boca Raton, FL 33431-6001 | 2010-11-08 |
Find all providers in BOCA RATON |
City | BOCA RATON |
Zip Code | 33496 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.