Provider Demographics
NPI:1538031554
Name:JOSEPH, WINSTIN (LPN)
Entity type:Individual
Prefix:
First Name:WINSTIN
Middle Name:
Last Name:JOSEPH
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1012 BALAYE VISTA CIR APT 303
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33619-7602
Mailing Address - Country:US
Mailing Address - Phone:786-224-8234
Mailing Address - Fax:
Practice Address - Street 1:1434 BLOSSOM BAYOU CIR
Practice Address - Street 2:
Practice Address - City:RUSKIN
Practice Address - State:FL
Practice Address - Zip Code:33570-4828
Practice Address - Country:US
Practice Address - Phone:813-591-5074
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-19
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN5248555164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse