Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 94685 | FL |
N | 111NI0900X | Internist | 94685 | FL |
Y | 207RX0202X | Medical Oncology | 94685 | FL |
N | 207RX0202X | Medical Oncology | ME94685 | FL |
NPI | 1003865338 |
---|---|
Provider Name | Warren Steven Brenner |
First Address | Delray Beach, FL 33484-6416 |
Second Address | Delray Beach, FL 33484-6416 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2006 |
Last Update Date | 15/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H77869 | (02) | MO |