Provider Demographics
NPI:1073629234
Name:WINTERS, THOMAS F JR (MD)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:F
Last Name:WINTERS
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 561027
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32856-1027
Mailing Address - Country:US
Mailing Address - Phone:407-649-1097
Mailing Address - Fax:407-841-3786
Practice Address - Street 1:1405 S ORANGE AVE STE 601
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806
Practice Address - Country:US
Practice Address - Phone:407-649-1097
Practice Address - Fax:407-841-3786
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2022-09-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME49194207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
B87170Medicare UPIN