Provider Demographics
NPI:1225144488
Name:THOMAS F WINTERS JR MD PA
Entity Type:Organization
Organization Name:THOMAS F WINTERS JR MD PA
Other - Org Name:TOM WINTERS, MD ORTHOPAEDICS & SPORTS MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:F
Authorized Official - Last Name:WINTERS
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:407-649-1097
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-21
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLB87170Medicare UPIN