Provider Demographics
NPI:1578500310
Name:WINZENRIED, GUY (MD)
Entity Type:Individual
Prefix:DR
First Name:GUY
Middle Name:
Last Name:WINZENRIED
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 1:150 TAMIAMI TRL N
Mailing Address - Street 2:STE 2
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-6203
Mailing Address - Country:US
Mailing Address - Phone:239-434-0009
Mailing Address - Fax:
Practice Address - Street 1:150 TAMIAMI TRL N
Practice Address - Street 2:STE 2
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-6203
Practice Address - Country:US
Practice Address - Phone:239-434-0009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2009-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME88304207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL267784900Medicaid
FL267784900Medicaid