Provider Demographics
NPI:1366465379
Name:MEDICAL CENTER OF WINSTON TOWERS INC
Entity Type:Organization
Organization Name:MEDICAL CENTER OF WINSTON TOWERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:HOROWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-538-7344
Mailing Address - Street 1:2845 AVENTURA BLVD
Mailing Address - Street 2:SUITE 240
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-3118
Mailing Address - Country:US
Mailing Address - Phone:305-931-9002
Mailing Address - Fax:305-692-9176
Practice Address - Street 1:2845 AVENTURA BLVD
Practice Address - Street 2:SUITE 240
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-3118
Practice Address - Country:US
Practice Address - Phone:305-931-9002
Practice Address - Fax:305-692-9176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
24796Medicare ID - Type UnspecifiedGROUP PROVIDER NUMBER