Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | ME 100071 | FL |
NPI | 1053512350 |
---|---|
Provider Name | Juan Carlos Varon |
First Address | Kissimmee, FL 34744-2308 |
Second Address | Kissimmee, FL 34744-2308 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2007 |
Last Update Date | 30/06/2016 |