Provider Demographics
NPI:1215750807
Name:WINKLE, RHONDA GAIL
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:GAIL
Last Name:WINKLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4521 E BUS HWY 98
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32404-6565
Mailing Address - Country:US
Mailing Address - Phone:850-225-6996
Mailing Address - Fax:
Practice Address - Street 1:4521 E BUS HWY 98
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32404-6565
Practice Address - Country:US
Practice Address - Phone:850-225-6996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLL24000459149374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide