MEDICARE: DR. WILLIAM DONALD WARRING MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	ME39251	FL

General Provider Information

NPI Number	:	1770551947
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM DONALD WARRING MD

Provider Business Mailing Address
First Line	:	PO BOX 1533
Second Line	:	125 W SANTA FE BLVD
City	:	HIGH SPRINGS
State	:	FL
Zip	:	32655-1533
Country	:	US
Telephone Number	:	386-454-2688
Fax Number	:	386-454-2680

Provider Business Practice Location Address
First Line	:	125 W SANTA FE BLVD
Second Line	:
City	:	HIGH SPRINGS
State	:	FL
Zip	:	32655-1533
Country	:	US
Telephone Number	:	386-454-2688
Fax Number	:	386-454-2680

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	07/08/2007

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