MEDICARE: SOPHIA MARIE VARJABEDIAN

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	235Z00000X	Speech-Language Pathologist	SZ13027	FL

General Provider Information

NPI Number	:	1700750627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SOPHIA MARIE VARJABEDIAN

Provider Business Mailing Address
First Line	:	2505 W WATROUS AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-5344
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6161 WATERFORD DISTRICT DR STE 150
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-2024
Country	:	US
Telephone Number	:	954-538-8588
Fax Number	:

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

Provider Enumeration Date	:	10/02/2025
Last Update Date	:	10/02/2025

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Directions to “ SOPHIA MARIE VARJABEDIAN ” Practice Location

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