Warner, Jeannette G

Warner, Jeannette G is an individual health care provider with primary practice located at 1270 Malabar Rd Se Suite 1, Palm Bay FL 32907-2556. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as her primary health care specialty. Warner, Jeannette G can be contacted via phone (321) 722-1933.

Contact Information

Primary practice address
1270 Malabar Rd Se Suite 1 Palm Bay FL 32907-2556
Fax: (321) 722-0744
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X ME 63433 Florida

Profile Details

NPI number 1265542229
LBN Legal business name Warner, Jeannette G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated May 26th, 2017 - about 7 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 1265542229 NPPES
Florida Other 59-3444276 TAX IDENTIFICATION

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