Provider Demographics
NPI:1568755213
Name:FORBES, WINSTON FITZGERALD (MD)
Entity Type:Individual
Prefix:DR
First Name:WINSTON
Middle Name:FITZGERALD
Last Name:FORBES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 520278
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33152-0278
Mailing Address - Country:US
Mailing Address - Phone:954-839-8531
Mailing Address - Fax:
Practice Address - Street 1:THE MEDICAL PAVILION, EAST SUNRISE HIGHWAY
Practice Address - Street 2:
Practice Address - City:FREEPORT
Practice Address - State:GRAND BAHAMA
Practice Address - Zip Code:F42533
Practice Address - Country:BS
Practice Address - Phone:954-839-8531
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-26
Last Update Date:2011-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ1107207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease