Amos, Warren R.

Amos, Warren R. is an individual health care provider with primary practice located at 1026 Mar Walt Dr , Fort Walton Beach FL 32547-6645. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Amos, Warren R. can be contacted via phone (850) 863-5294.

Contact Information

Primary practice address
1026 Mar Walt Dr Fort Walton Beach FL 32547-6645
Fax: (850) 864-1648
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X ME0060739 Florida

Profile Details

NPI number 1275537755
LBN Legal business name Amos, Warren R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Aug 16th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275537755 NPPES
Alabama Other 118460 ALABAMA MEDICAID DSF 05/01/10
Alabama Other 25224 ALABAMA MEDICAID DSF 05/01/10
Alabama Other 009948645 ALABAMA MEDICAID DSF 05/01/10
Alabama Other 009957635 ALABAMA MEDICAID DSF 05/01/10
Alabama MEDICAID 375209700 ALABAMA MEDICAID DSF 05/01/10
Alabama Other 118462 ALABAMA MEDICAID DSF 05/01/10
Alabama Other 009957625 ALABAMA MEDICAID DSF 05/01/10
Alabama Other 0185058 ALABAMA MEDICAID DSF 05/01/10
Alabama Other 36-00905 ALABAMA MEDICAID DSF 05/01/10
Alabama Other 118461 ALABAMA MEDICAID DSF 05/01/10
Alabama Other 373224 ALABAMA MEDICAID DSF 05/01/10
Alabama Other 009957645 ALABAMA MEDICAID DSF 05/01/10
Alabama Other 5909067 ALABAMA MEDICAID DSF 05/01/10
Alabama Other 738889 ALABAMA MEDICAID DSF 05/01/10
Alabama Other P-12004670 ALABAMA MEDICAID DSF 05/01/10
Alabama Other 118455 ALABAMA MEDICAID DSF 05/01/10
Alabama Other 226045 ALABAMA MEDICAID DSF 05/01/10
Alabama Other P12004670 ALABAMA MEDICAID DSF 05/01/10

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