Nelson a Warner MD PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME24617 Issued in FL

Legal business name

NELSON A WARNER MD PA

Practice address

429 2ND St NW
Winter Haven, FL 33881-4168

Phone

(863) 294-7558

Fax

(863) 295-9282

NPI assigned

Jun 27, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nelson A Warner, MD

Title

President

Phone

(863) 294-7558

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1346447109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 2ND ST NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814168",
            "telephone_number": "863-294-7558",
            "fax_number": "863-295-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 2ND ST NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814168",
            "telephone_number": "863-294-7558",
            "fax_number": "863-295-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON A WARNER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "NELSON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-294-7558",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME24617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nawada Ambulatory Surgical Center LLC
• Cynchera Renae Neal
• David C Neal, DDS
• John Edward Needham, M.D.
• Betsy Negron, MD
• Heather Bonifay Nelson, PA-C
• Makenzie Nelson, LCSW
• Stephen John Nelson, M.D.
• Nemours Children's Health, Winter Haven, Primary Care
• Stephen Douglas Nenner, LMHC

• Dermatology Physician in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.