Provider Demographics
NPI:1063571297
Name:MEDICAL CENTER OF WINSTON TOWERS INC
Entity type:Organization
Organization Name:MEDICAL CENTER OF WINSTON TOWERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:HOROWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-538-7344
Mailing Address - Street 1:4302 ALTON RD
Mailing Address - Street 2:SUITE 320
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2842
Mailing Address - Country:US
Mailing Address - Phone:305-538-7344
Mailing Address - Fax:305-538-7371
Practice Address - Street 1:4302 ALTON RD
Practice Address - Street 2:SUITE 320
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2891
Practice Address - Country:US
Practice Address - Phone:305-538-7344
Practice Address - Fax:305-538-7371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
24796Medicare ID - Type Unspecified