Individual
JOSEPH W WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2501 N ORANGE AVE, SUITE 537N, ORLANDO, FL 32804-4603
(407) 894-4693
(407) 896-0569
Mailing address
807 S ORLANDO AVE, SUITE C, WINTER PARK, FL 32789-4870
(407) 894-4693
(407) 539-0469
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME0030906
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058744300
—
FL
01
—
15417
BCBS
FL
01
—
202427
AVMED
FL
01
—
390001557
RAILROAD MEDICARE
FL
Enumeration date
08/24/2005
Last updated
12/22/2009
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