MEDICARE: DR. MARK ALAN WERNER 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	207WX0009X	Glaucoma Specialist (Ophthalmology) Physician	90223	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023033388
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK ALAN WERNER MD

Provider Business Mailing Address
First Line	:	16201 S MILITARY TRL
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484-6503
Country	:	US
Telephone Number	:	561-498-8100
Fax Number	:	561-498-8188

Provider Business Practice Location Address
First Line	:	16201 S MILITARY TRL
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484-6503
Country	:	US
Telephone Number	:	561-498-8100
Fax Number	:	561-498-8188

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

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	07/21/2022

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