Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | ME133835 | FL |
NPI | 1013235753 |
---|---|
Provider Name | Juan Carlos Varela |
First Address | Orlando, FL 32804-5558 |
Second Address | Orlando, FL 32804-5558 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2010 |
Last Update Date | 02/01/2018 |