Provider Demographics
NPI:1568700235
Name:WARDEN, WILLIAM STEELE (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:STEELE
Last Name:WARDEN
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 1:520 BAHAMA DR
Mailing Address - Street 2:
Mailing Address - City:INDIALANTIC
Mailing Address - State:FL
Mailing Address - Zip Code:32903-4104
Mailing Address - Country:US
Mailing Address - Phone:321-724-0102
Mailing Address - Fax:321-727-9042
Practice Address - Street 1:520 BAHAMA DR
Practice Address - Street 2:
Practice Address - City:INDIALANTIC
Practice Address - State:FL
Practice Address - Zip Code:32903-4104
Practice Address - Country:US
Practice Address - Phone:321-724-0102
Practice Address - Fax:321-727-9042
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-30
Last Update Date:2013-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME11030208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology