Individual
JUSTIN D WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2335 TAMIAMI TRAIL N, SUITE 501, NAPLES, FL 34103-4456
(239) 263-0011
(239) 430-7823
Mailing address
2234 COLONIAL BLVD, ATTN: MANAGED CARE DEPT., FORT MYERS, FL 33907
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME90326
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270653900
—
FL
01
—
343966
AVMED
FL
01
—
49098
BCBS
FL
01
—
7065622
AETNA
FL
01
—
P00877441
RR MEDICARE
FL
01
—
P01808780
CLEAR HEALTH
FL
01
—
P112648
FREEDOM
FL
01
—
P953716
OPTIMUM
FL
Enumeration date
09/20/2006
Last updated
04/06/2017
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