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NPI Code Detail

MEDICARE: BIRDIE M. VARNEDORE M.D.

MEDICARE: BIRDIE M. VARNEDORE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084N0400XNeurology PhysicianME89988FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063473122
Entity Type Code : Individual
Provider Name (Legal Business Name) : BIRDIE M. VARNEDORE M.D.
Provider Business Mailing Address
First Line : 2823 NORTHAMPTON AVE
Second Line :
City : ORLANDO
State : FL
Zip : 32828-7912
Country : US
Telephone Number : 407-754-6490
Fax Number : 407-512-4050
Provider Business Practice Location Address
First Line : 7727 LAKE UNDERHILL RD
Second Line :
City : ORLANDO
State : FL
Zip : 32822-8224
Country : US
Telephone Number : 407-754-6490
Fax Number : 407-512-4050
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2006
Last Update Date : 12/21/2015

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