Individual
DR. MATTHEW DUWAIN WARRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-4195
(904) 244-4908
Mailing address
PO BOX 44008, JACKSONVILLE, FL 32231-4008
(904) 244-3660
(904) 244-3425
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
264172-1
NY
207L00000X
Anesthesiology Physician
Primary
ME 113050
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00135452A
—
GA
05
—
009033700
—
FL
01
—
14PR6
BCBS
FL
Enumeration date
04/29/2008
Last updated
08/13/2013
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