DR. JOSEPH J WARNER, MD - NPI NUMBER 1295793073

Summary

Provider Name: DR. JOSEPH J WARNER, MD

NPI Number: 1295793073

Clasification: Specialist (174400000X)

Address:
7999 PHILIPS HWY
SUITE 305
JACKSONVILLE, FL
ZIP 32256

Phone Number: (904) 503-4920



Detailed Information

DR. Joseph J Warner, MD is a specialist in Jacksonville, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. The assigned NPI number for this provider is 1295793073 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business address is:

7999 PHILIPS HWY
SUITE 305
JACKSONVILLE, FL
ZIP 32256-443
Phone: (904) 503-4920
Fax: (904) 503-4925

The enumeration date for this NPI number is 5/2/2006 and was last updated on 6/20/2013.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 174400000X Specialist ME45606 FL Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 D57880 MEDICARE UPIN FL
2 266403800 MEDICAID FL
3 68370 MEDICARE ID-TYPE UNSPECIFIED FL
4 055917200 MEDICAID FL

NPI Record

No. Field Name Field Value
1 NPI 1295793073
2 Entity Type Code 1
3 Provider Last Name Legal Name WARNER
4 Provider First Name JOSEPH
5 Provider Middle Name J
6 Provider Name Prefix Text DR.
7 Provider Credential Text MD
8 Provider First Line Business Practice Location Address 7999 PHILIPS HWY
9 Provider Second Line Business Practice Location Address SUITE 305
10 Provider Business Practice Location Address City Name JACKSONVILLE
11 Provider Business Practice Location Address State Name FL
12 Provider Business Practice Location Address Postal Code 322564443
13 Provider Business Practice Location Address Country Code If outside U S US
14 Provider Business Practice Location Address Telephone Number 9045034920
15 Provider Business Practice Location Address Fax Number 9045034925
16 Provider Enumeration Date 5/2/2006
17 Last Update Date 6/20/2013
18 Provider Gender Code M
19 Healthcare Provider Taxonomy Code 1 174400000X
20 Provider License Number 1 ME45606
21 Provider License Number State Code 1 FL
22 Healthcare Provider Primary Taxonomy Switch 1 Y
23 Other Provider Identifier 1 D57880
24 Other Provider Identifier Type Code 1 02
25 Other Provider Identifier State 1 FL
26 Other Provider Identifier 2 266403800
27 Other Provider Identifier Type Code 2 05
28 Other Provider Identifier State 2 FL
29 Other Provider Identifier 3 68370
30 Other Provider Identifier Type Code 3 04
31 Other Provider Identifier State 3 FL
32 Other Provider Identifier 4 055917200
33 Other Provider Identifier Type Code 4 05
34 Other Provider Identifier State 4 FL
35 Is Sole Proprietor N

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This page was last updated on: 10/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.