MEDICARE: MISS ROBYN LESLIE VARNER PT

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
1	174400000X	Specialist	0011152	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0011152	OTHER	FL	STATE LISCENSURE

General Provider Information

NPI Number	:	1184847824
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS ROBYN LESLIE VARNER PT

Provider Business Mailing Address
First Line	:	1085 WHITEHEAD RD
Second Line	:
City	:	SUGAR HILL GEORGIA
State	:	GA
Zip	:	30518
Country	:	US
Telephone Number	:	850-291-5705
Fax Number	:	850-455-0938

Provider Business Practice Location Address
First Line	:	12385 SORRENTO RD
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32507-8664
Country	:	US
Telephone Number	:	850-453-8549
Fax Number	:	850-455-0938

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2007
Last Update Date	:	07/28/2025

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