Healthcare Provider Details

I. General information

NPI: 1013248483
Provider Name (Legal Business Name): DOUGLAS WARSETT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/24/2010
Last Update Date: 01/24/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

916 WESTWIND DR
N PALM BEACH FL
33408-4219
US

IV. Provider business mailing address

916 WESTWIND DR
N PALM BEACH FL
33408-4219
US

V. Phone/Fax

Practice location:
  • Phone: 561-627-0459
  • Fax:
Mailing address:
  • Phone: 561-627-0459
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME44128
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: