MEDICARE: IRA G WARSHAW MDPA

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	ME64974	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	CJ5818	OTHER	FL	MEDICARE RAILROAD

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	:	1467439950
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IRA G WARSHAW MDPA

Provider Business Mailing Address
First Line	:	1216 US HIGHWAY 1
Second Line	:	SUITE A
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-3537
Country	:	US
Telephone Number	:	561-626-1000
Fax Number	:	561-626-3007

Provider Business Practice Location Address
First Line	:	1216 US HIGHWAY 1
Second Line	:	SUITE A
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-3537
Country	:	US
Telephone Number	:	561-626-1000
Fax Number	:	561-626-3007

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

Provider Enumeration Date	:	12/27/2005
Last Update Date	:	05/22/2008

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