Provider Demographics
NPI:1871396911
Name:CARRIGAN, WARREN VINCENT IV (MD)
Entity type:Individual
Prefix:DR
First Name:WARREN
Middle Name:VINCENT
Last Name:CARRIGAN
Suffix:IV
Gender:
Credentials:MD
Other - Prefix:DR
Other - First Name:EVAN
Other - Middle Name:
Other - Last Name:CARRIGAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:655 W 8TH ST
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32209-6511
Mailing Address - Country:US
Mailing Address - Phone:904-633-4199
Mailing Address - Fax:904-633-4188
Practice Address - Street 1:655 W 8TH ST
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32209-6511
Practice Address - Country:US
Practice Address - Phone:904-633-4199
Practice Address - Fax:904-633-4188
Is Sole Proprietor?:No
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program