Provider Demographics
NPI:1962802926
Name:GUY WINZENRIED MD LLC
Entity type:Organization
Organization Name:GUY WINZENRIED MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GUY
Authorized Official - Middle Name:
Authorized Official - Last Name:WINZENREID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-732-1133
Mailing Address - Street 1:1656 MEDICAL BLVD
Mailing Address - Street 2:301
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-1423
Mailing Address - Country:US
Mailing Address - Phone:239-732-1133
Mailing Address - Fax:239-732-1145
Practice Address - Street 1:5077 TAMIAMI TRL E
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34113-4128
Practice Address - Country:US
Practice Address - Phone:239-732-1133
Practice Address - Fax:239-732-1145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-27
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME88304207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty