MEDICARE: DR. WILLIAM GARRETT WARRINGTON JR. PHD, APRN, FNP-C

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	363L00000X	Nurse Practitioner	ARNP2758262	FL
2	363LF0000X	Family Nurse Practitioner	95013836	CA
3	363LF0000X	Family Nurse Practitioner	F345222-01	NY
4	363LF0000X	Family Nurse Practitioner	APRN2758262	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	:	1790104909
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM GARRETT WARRINGTON JR. PHD, APRN, FNP-C

Provider Business Mailing Address
First Line	:	4250 ALAFAYA TRL STE 212-314
Second Line	:
City	:	OVIEDO
State	:	FL
Zip	:	32765-9412
Country	:	US
Telephone Number	:	407-755-5044
Fax Number	:	407-755-5033

Provider Business Practice Location Address
First Line	:	2959 ALAFAYA TRAIL
Second Line	:	SUITE 117
City	:	OVIEDO
State	:	FL
Zip	:	32765-9482
Country	:	US
Telephone Number	:	407-506-4665
Fax Number	:	407-604-3067

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

Provider Enumeration Date	:	04/15/2014
Last Update Date	:	11/02/2020

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