# MICHAELSWERNERDPMPA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265678551
- **Authorized official:** MICHAEL S WERNER DPM (PRESIDENT)
- **Authorized official phone:** (727) 328-1111

## Contact information

- **Practice address:** 5704 GULFPORT BLVD S, GULFPORT, FL 33707-4835
- **Practice address phone:** (727) 328-1111
- **Practice address fax:** (727) 328-1219
- **Mailing address:** 5704 GULFPORT BLVD S, GULFPORT, FL 33707-4835
- **Mailing address phone:** (727) 328-1111
- **Mailing address fax:** (727) 328-1219

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO2826 | FL | Yes |

## Other

- **Enumeration date:** 12/17/2008
- **Last updated:** 12/17/2008