Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | DN15756 | FL |
Y | 213EG0000X | General Practice | DN15756 | FL |
NPI | 1003922170 |
---|---|
Provider Name | Dr. Andrew I Varga |
First Address | Bradenton, FL 34209 |
Second Address | Bradenton, FL 34209 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2006 |
Last Update Date | 08/07/2007 |