Organization
MARK G WARREN D P M P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK G WARREN DPM (OWNER)
(561) 715-3106
Entity
Organization
Contact information
Practice address
5130 LINTON BLVD STE D3, DELRAY BEACH, FL 33484-6595
(561) 715-3106
(561) 336-4245
Mailing address
821 SW 36TH AVE, BOYNTON BEACH, FL 33435-8514
(561) 715-3106
(561) 336-4245
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO 1194
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04125710-0
—
FL
Enumeration date
03/03/2008
Last updated
09/09/2021
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