Provider Demographics
NPI:1407820582
Name:DAY, WARREN GEORGE (MD)
Entity Type:Individual
Prefix:DR
First Name:WARREN
Middle Name:GEORGE
Last Name:DAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8150 ROYAL PALM BLVD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-4038
Mailing Address - Country:US
Mailing Address - Phone:954-753-2810
Mailing Address - Fax:954-753-3104
Practice Address - Street 1:8150 ROYAL PALM BLVD
Practice Address - Street 2:SUITE 105
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-4038
Practice Address - Country:US
Practice Address - Phone:954-753-2810
Practice Address - Fax:954-753-3104
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0023101174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL271860000Medicaid
FL271860000Medicaid