Organization
NEIL J WARREN DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEIL JAY WARREN D.P.M. (OWNER)
(941) 906-1050
Entity
Organization
Contact information
Practice address
428 E LAKE DR, SARASOTA, FL 34232-1918
(941) 906-1050
(941) 906-1049
Mailing address
428 E LAKE DR, SARASOTA, FL 34232-1918
(941) 906-1050
(941) 906-1049
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390002900
—
FL
Enumeration date
07/04/2006
Last updated
04/22/2008
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