Doctor Name: | DR. WINSTON O BLISS |
NPI Number: | 1851407431 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME71138 |
Business Practice Address: | 4101 Nw 4th St Suite 306 Plantation, FL - 333172850 |
Business Phone Number: | 9545222979 |
Business Fax Number: | 9549030633 |
Mailing Address: | 4101 Nw 4th St, Suite 306 PLANTATION |
State: | FL |
Postal Code: | 333172850 |
Phone Number: | 9545222979 |
Fax Number: | 9549030633 |
NPI Enumeration Date: | 08/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | ME71138 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |