1811975311

Everything you always wanted to know about DR. BLOUNT WARREN MD but were afraid to ask.

DR. BLOUNT WARREN MD

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Provider Prefix Provider Last Name Provider First Name Provider Credential
DR. BLOUNT WARREN MD
Gender:
Male
Enumeration date:
2006-01-04
Last update date:
2007-07-11
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
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Identifiers

identifier description issuer state
62902 Other BCBS FL

Taxonomies

Taxonomy State License Number Primary?
207PE0004X Emergency Medical Services FL ME0086317 Y

Phone Numbers

Type Number
Mailing Address Fax Number 9043460113
Practice Location Address Fax Number 9043460113
Mailing Address Telephone Number 9043463606
Practice Location Address Telephone Number 9043463606

Addresses

Type Address City State Postal Country
Mailing Address PO BOX 860554 EMERGENCY DEPARTMENT ORLANDO FL 32886 FL
Practice Location Address 3625 UNIVERSITY BLVD S JACKSONVILLE FL 0 FL

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