| Maurice Winnick, DO | |
|
1874 Se Port St Lucie Blvd, Port Saint Lucie, FL 34952-5545 | |
| (772) 337-7676 | |
| (772) 337-9034 |
| Full Name | Maurice Winnick |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 1874 Se Port St Lucie Blvd, Port Saint Lucie, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700824067 | NPI | - | NPPES |
| 268945600 | Medicaid | FL | |
| 37594 | Other | FL | BCBS OF FLORIDA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | OS8276 (Florida) | Primary |
| Entity Name | Sheridan Healthcorp Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629781711 PECOS PAC ID: 3173429693 Enrollment ID: O20031208000355 |
| Entity Name | St Lucie Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700044252 PECOS PAC ID: 4284792706 Enrollment ID: O20081027000765 |
| Mailing Address | Practice Location Address |
|---|---|
| Maurice Winnick, DO 2695 Sw Bear Paw Trl, Palm City, FL 34990-7940 Ph: () - | Maurice Winnick, DO 1874 Se Port St Lucie Blvd, Port Saint Lucie, FL 34952-5545 Ph: (772) 337-7676 |
Dr. Kelly Maloch, D.O. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952 Phone: 772-521-2453 | |
Edward Bevier Spellerberg, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952 Phone: 772-335-4000 | |
Lee Frederick Tosi, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1850 Sw Fountainview Blvd Ste 105, Port Saint Lucie, FL 34986 Phone: 772-336-2818 Fax: 772-336-5313 | |
Dr. Carlos Cesar Lassalle, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 8312 Belfry Pl, Port Saint Lucie, FL 34986 Phone: 305-494-3811 | |
Bylsma Lea Allen, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1874 Se Port St Lucie Blvd, Port Saint Lucie, FL 34952 Phone: 772-337-7676 Fax: 772-337-9034 |