Provider Demographics
NPI:1841229259
Name:WARNER, DINAH MCCARLEY (MD)
Entity Type:Individual
Prefix:
First Name:DINAH
Middle Name:MCCARLEY
Last Name:WARNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2850 MORNINGSIDE DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT DORA
Mailing Address - State:FL
Mailing Address - Zip Code:32757-6610
Mailing Address - Country:US
Mailing Address - Phone:352-383-0733
Mailing Address - Fax:
Practice Address - Street 1:2850 MORNINGSIDE DR
Practice Address - Street 2:
Practice Address - City:MOUNT DORA
Practice Address - State:FL
Practice Address - Zip Code:32757-6610
Practice Address - Country:US
Practice Address - Phone:352-383-0733
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2014-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME64542207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL376522900Medicaid
FLF93041Medicare UPIN
FL68731YMedicare ID - Type Unspecified