Provider Demographics
NPI:1821052051
Name:WINTERS, WILLIAM F (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:F
Last Name:WINTERS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2682 WILLOUGHBY BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-4738
Mailing Address - Country:US
Mailing Address - Phone:772-240-1619
Mailing Address - Fax:772-219-1110
Practice Address - Street 1:2682 WILLOUGHBY BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-4738
Practice Address - Country:US
Practice Address - Phone:772-240-1619
Practice Address - Fax:772-219-1110
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-14
Last Update Date:2009-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0004681111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL89390OtherBLUE CROSS BLUE SHIELD
FLP00254150OtherRAILROAD MEDICARE
FL382066100Medicaid
FLP00254150OtherRAILROAD MEDICARE
FL382066100Medicaid