MEDICARE: KAYZIAH VARELA APRN

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	207Q00000X	Family Medicine Physician	11043702	FL

General Provider Information

NPI Number	:	1528928769
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYZIAH VARELA APRN

Provider Business Mailing Address
First Line	:	195 RIVER GROVE WAY APT 830
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-2194
Country	:	US
Telephone Number	:	786-218-0121
Fax Number	:

Provider Business Practice Location Address
First Line	:	195 RIVER GROVE WAY APT 830
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-2194
Country	:	US
Telephone Number	:	786-218-0121
Fax Number	:

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

Provider Enumeration Date	:	11/12/2025
Last Update Date	:	06/02/2026

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