Look up the most recent NPI and PECOS records

Harry Louis Wine

Internal Medicine

Allopathic & Osteopathic Physicians

(305) 243-1960

PECOS Enrollment

This provider is enrolled in PECOS as HARRY WINE.

Based on the most recent information from CMS, provider Harry Louis Wine is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1669042396
Provider Type
Individual
Full Name
Wine, Harry Louis
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
6/25/2021
Last Updated
11/8/2024

Contact Information

Practice Location

1400 NW 12th Ave, Miami, FL 33136-1003

(305) 243-1960

Unlisted Fax

Mailing Location

1400 NW 12th Ave, Miami, FL 33136-1003

(305) 243-1960

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License ME166886 Florida

Harry Louis Wine

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Urrea, Bruno

Cohn, Steven L.

Franco, Daniel Alfred

Olayiwola, Ayoola Omobolanle

Berger, Scott Louis

Dewan, Neelesh

Vernekar, Avinash Ashok

Parraga, Rene

Public Health Trust Of Dade County Florida

Matos, John