Provider Demographics
NPI:1639372832
Name:MICHAEL A. WARNER, M.D., P.C.
Entity Type:Organization
Organization Name:MICHAEL A. WARNER, M.D., P.C.
Other - Org Name:FLORIDA EYELID AND COSMETIC SURGERY SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:WARNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:541-561-5373
Mailing Address - Street 1:766 N SUN DR STE 3090
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-2555
Mailing Address - Country:US
Mailing Address - Phone:541-561-5373
Mailing Address - Fax:
Practice Address - Street 1:766 N SUN DR STE 3090
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-2555
Practice Address - Country:US
Practice Address - Phone:541-561-5373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-06
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0200XAllopathic & Osteopathic PhysiciansOphthalmologyOphthalmic Plastic and Reconstructive SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CH2356OtherMEDICARE RR
ORR107053Medicare ID - Type UnspecifiedOREGON MEDICARE
CH2356OtherMEDICARE RR