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NPI Code Detail

MEDICARE: ELIZABETH WARNER MD

MEDICARE:   ELIZABETH  WARNER  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
1207R00000XInternal Medicine PhysicianME55645FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
209366OTHERFLBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1457362493
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH WARNER MD
Provider Business Mailing Address
First Line : PO BOX 1289
Second Line : ATTN MANAGED CARE
City : TAMPA
State : FL
Zip : 33601-1289
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2501 W KENNEDY BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33609-3305
Country : US
Telephone Number : 813-384-4138
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2006
Last Update Date : 06/08/2021

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Directions to “ ELIZABETH WARNER MD” Practice Location

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