Individual
DR. RICHARD C. WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 SE MAGNOLIA EXT, SUITE 106, OCALA, FL 34471-4463
(352) 622-5183
(352) 622-2720
Mailing address
3130 SW 32ND AVE, OCALA, FL 34474-4445
(352) 622-5183
(352) 622-2720
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME0039940
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062798400
—
FL
01
—
10257
BC/BS PROVIDER NUMBER
FL
Enumeration date
08/17/2005
Last updated
06/14/2012
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