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General NPI Number Information
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NPI Number | 1265458293
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Entity Type | Individual
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Provider Name | MICHAEL ALAN WARNER M.D
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Gender | Male
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 09/11/2023
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Provider Practice Location Address
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Address Line | 766 N SUN DR STE 3090
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City | LAKE MARY
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State | FL
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Zip | 32746-2555
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Country | US
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Telephone | 541-561-5373
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Fax | 407-264-6877
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Provider Business Mailing Address
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Address Line | 766 N SUN DR STE 3090
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City | LAKE MARY
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State | FL
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Zip | 32746-2555
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Country | US
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Telephone | 407-863-8700
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Fax | 407-264-6877
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD17533
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | C52765
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | ME123815
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License Number State | FL
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