Provider Demographics
NPI:1841282175
Name:WINSLOW, WILLIAM TOD (DO)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:TOD
Last Name:WINSLOW
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:FLORIDA GULF COAST UNIVERSITY STUDENT HEALTH SERVICES
Mailing Address - Street 2:10501 FGCU BOULEVARD SOUTH
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33965-6565
Mailing Address - Country:US
Mailing Address - Phone:239-590-7966
Mailing Address - Fax:239-590-7575
Practice Address - Street 1:FLORIDA GULF COAST UNIVERSITY STUDENT HEALTH SERVICES
Practice Address - Street 2:10501 FGCU BOULEVARD SOUTH
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33965-6565
Practice Address - Country:US
Practice Address - Phone:239-590-7966
Practice Address - Fax:239-590-7575
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-23
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0517688207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0016837170002Medicaid
PA005851Medicare PIN
PA0016837170002Medicaid
PA0016837170002Medicaid