Provider Demographics
NPI:1013991587
Name:REPRODUCTIVE MEDICINE ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:REPRODUCTIVE MEDICINE ASSOCIATES, P.A.
Other - Org Name:KEVIN L. WINSLOW, M.D., P.A.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:WINSLOW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:904-399-5620
Mailing Address - Street 1:836 PRUDENTIAL DR
Mailing Address - Street 2:SUITE 902
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32207-8334
Mailing Address - Country:US
Mailing Address - Phone:904-399-5620
Mailing Address - Fax:904-399-5645
Practice Address - Street 1:836 PRUDENTIAL DR
Practice Address - Street 2:SUITE 902
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207-8334
Practice Address - Country:US
Practice Address - Phone:904-399-5620
Practice Address - Fax:904-399-5645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-30
Last Update Date:2019-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Single Specialty