Provider Demographics
NPI:1841272663
Name:WARREN, STEVEN B (MEDICAL DOCTOR)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:B
Last Name:WARREN
Suffix:
Gender:M
Credentials:MEDICAL DOCTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6500 66TH ST
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33781-5030
Mailing Address - Country:US
Mailing Address - Phone:727-347-1286
Mailing Address - Fax:727-345-3084
Practice Address - Street 1:4820 PARK BLVD N
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33781-3534
Practice Address - Country:US
Practice Address - Phone:727-209-6677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-17
Last Update Date:2018-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME60200207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL240603OtherAVMED
FL4312608OtherAETNA
FL054688700Medicaid
FL12250OtherBLUE CROSS BLUE SHIELD
FL200009551OtherRAILROAD MEDICARE
FL200009551OtherRAILROAD MEDICARE
FLE46355Medicare UPIN