Provider Demographics
NPI:1629043559
Name:WINESETT, STEVEN PARRISH (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:PARRISH
Last Name:WINESETT
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 917770
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32891-7770
Mailing Address - Country:US
Mailing Address - Phone:813-974-2201
Mailing Address - Fax:
Practice Address - Street 1:601 5TH ST S
Practice Address - Street 2:5TH FLOOR
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-4804
Practice Address - Country:US
Practice Address - Phone:727-767-8191
Practice Address - Fax:727-767-8030
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME591012084N0402X, 2084N0400X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL58721OtherBLUE CROSS BLUE SHIELD
FL262716700Medicaid
FL58721YMedicare PIN
FL262716700Medicaid
G06538Medicare UPIN
FLP00446898Medicare PIN
FL58721OtherBLUE CROSS BLUE SHIELD