| Kim Carter Winokur, Pa | |
|
136 Julia St Unit 100 New Smyrna Beach FL 32168-7713 | |
| (389) 689-8776 | |
| Not Available |
| Full Name | Kim Carter Winokur, Pa |
|---|---|
| Speciality | Counselor - Professional |
| Location | 136 Julia St Unit 100, New Smyrna Beach, Florida |
| Authorized Official Name and Position | Kim Carter Winokur (PRESIDENT) |
| Authorized Official Contact | 3896898776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kim Carter Winokur, Pa 136 Julia St Unit 100 New Smyrna Beach FL 32168-7713 Ph: (389) 423-9161 | Kim Carter Winokur, Pa 136 Julia St Unit 100 New Smyrna Beach FL 32168-7713 Ph: (389) 689-8776 |
| NPI Number | 1104381052 |
|---|---|
| Provider Enumeration Date | 02/05/2019 |
| Last Update Date | 12/31/2020 |
| Certification Date | 12/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104381052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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