Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | CH 7638 | FL |
NPI | 1568531028 |
---|---|
Provider Name | Dr. David Brian Warren |
First Address | Boca Raton, FL 33431-7209 |
Second Address | Boca Raton, FL 33431-7209 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2006 |
Last Update Date | 08/07/2007 |