MEDICARE: WILLIAM DONALD WARRING WARRING WILLIAM DONALD 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	:	1093105884
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAM DONALD WARRING WARRING WILLIAM DONALD MD

Provider Business Mailing Address
First Line	:	125 NW SANTA FE BLVD
Second Line	:	P O BOX 2688
City	:	HIGH SPRINGS
State	:	FL
Zip	:	32643-4301
Country	:	US
Telephone Number	:	386-454-2688
Fax Number	:	386-454-2680

Provider Business Practice Location Address
First Line	:	125 NW SANTA FE BLVD
Second Line	:
City	:	HIGH SPRINGS
State	:	FL
Zip	:	32643-4301
Country	:	US
Telephone Number	:	386-454-2688
Fax Number	:	386-454-2680

Authorized Official
Title or Position	:	PHYSICIAN OWNER
Name	:	WILLIAM DONALD WARRING
Credential	:	M.D.
Telephone Number	:	386-454-2688

Provider Enumeration Date	:	01/31/2015
Last Update Date	:	01/31/2015

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