Individual
ADAM WARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1504 S FISKE BLVD, ROCKLEDGE, FL 32955-2515
(321) 890-5373
Mailing address
2800 AURORA RD, SUITE G, MELBOURNE, FL 32935-2096
(321) 890-5373
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12582
FL
Other
Enumeration date
02/04/2016
Last updated
02/04/2016
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