Provider Demographics
NPI:1770551947
Name:WARRING, WILLIAM DONALD (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:DONALD
Last Name:WARRING
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:PO BOX 1533
Mailing Address - Street 2:125 W SANTA FE BLVD
Mailing Address - City:HIGH SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32655-1533
Mailing Address - Country:US
Mailing Address - Phone:386-454-2688
Mailing Address - Fax:386-454-2680
Practice Address - Street 1:125 W SANTA FE BLVD
Practice Address - Street 2:
Practice Address - City:HIGH SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32655-1533
Practice Address - Country:US
Practice Address - Phone:386-454-2688
Practice Address - Fax:386-454-2680
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME39251207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
01324Medicare ID - Type Unspecified
D50083Medicare UPIN