Lightburn, Winston Edison

Lightburn, Winston Edison is an individual health care provider with primary practice located at 1055 Saxon Blvd , Orange City FL 32763-8468. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Lightburn, Winston Edison can be contacted via phone (386) 943-4522.

Contact Information

Primary practice address
1055 Saxon Blvd Orange City FL 32763-8468
Phone: (386) 943-4522
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME93183 Florida

Profile Details

NPI number 1598791964
LBN Legal business name Lightburn, Winston Edison
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2006
Last updated Dec 4th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598791964 NPPES
Florida Other 29601 BLUE CROSS OF FLORIDA

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