Individual
DR. MARK G WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
1325 S CONGRESS AVE, SUITE 108, BOYNTON BEACH, FL 33426-5876
(561) 369-3300
(561) 734-2811
Mailing address
821 S.W. 36TH AVE, BOYNTON BEACH, FL 33435
(561) 369-3300
(561) 734-2811
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO1194
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04125710-0
—
FL
Enumeration date
08/30/2006
Last updated
07/25/2013
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