Provider Demographics
NPI:1285439216
Name:POINDEXTER, WINSTON (EMT)
Entity type:Individual
Prefix:
First Name:WINSTON
Middle Name:
Last Name:POINDEXTER
Suffix:
Gender:M
Credentials:EMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2585 LIBERTY PARK DR APT 8302
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33909-3703
Mailing Address - Country:US
Mailing Address - Phone:603-969-5212
Mailing Address - Fax:
Practice Address - Street 1:2585 LIBERTY PARK DR APT 8302
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33909-3703
Practice Address - Country:US
Practice Address - Phone:603-969-5212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-14
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL584750146N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic