MEDICARE: DR. JAVIER ESTEBAN VARELA MD

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	208600000X	Surgery Physician	ME121612	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1780797134
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAVIER ESTEBAN VARELA MD

Provider Business Mailing Address
First Line	:	6718 LAKE NONA BLVD STE 120
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32827-7984
Country	:	US
Telephone Number	:	407-821-5757
Fax Number	:

Provider Business Practice Location Address
First Line	:	6718 LAKE NONA BLVD STE 120
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32827-7984
Country	:	US
Telephone Number	:	407-821-5757
Fax Number	:

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

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	04/25/2024

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