Warren, Mark G

Warren, Mark G is an sole proprietor health care provider with primary practice located at 1325 S Congress Ave Suite 108, Boynton Beach FL 33426-5876. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Warren, Mark G can be contacted via phone (561) 369-3300.

Contact Information

Primary practice address
1325 S Congress Ave Suite 108 Boynton Beach FL 33426-5876
Phone: (561) 369-3300
Fax: (561) 734-2811
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO1194 Florida

Profile Details

NPI number 1457460396
LBN Legal business name Warren, Mark G
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Jul 25th, 2013 - about 11 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 1457460396 NPPES
Florida MEDICAID 04125710-0

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