MEDICARE: DR. STEVEN B WARREN MEDICAL DOCTOR

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	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	ME60200	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	200009551	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	240603	OTHER	FL	AVMED
2	4312608	OTHER	FL	AETNA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	12250	OTHER	FL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1841272663
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN B WARREN MEDICAL DOCTOR

Provider Business Mailing Address
First Line	:	6500 66TH ST
Second Line	:
City	:	PINELLAS PARK
State	:	FL
Zip	:	33781-5030
Country	:	US
Telephone Number	:	727-347-1286
Fax Number	:	727-345-3084

Provider Business Practice Location Address
First Line	:	4820 PARK BLVD N
Second Line	:
City	:	PINELLAS PARK
State	:	FL
Zip	:	33781-3534
Country	:	US
Telephone Number	:	727-209-6677
Fax Number	:

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

Provider Enumeration Date	:	11/17/2005
Last Update Date	:	04/17/2018

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