Individual
ELIZABETH WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2501 W KENNEDY BLVD, TAMPA, FL 33609-3305
(813) 384-4138
Mailing address
PO BOX 1289, ATTN MANAGED CARE, TAMPA, FL 33601-1289
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME55645
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061490400
—
FL
01
—
09366
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/11/2006
Last updated
06/08/2021
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