Healthcare Provider Details

I. General information

NPI: 1083560759
Provider Name (Legal Business Name): DARYA VARSHAVSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2026
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9700 COLLINS AVE
BAL HARBOUR FL
33154-2208
US

IV. Provider business mailing address

6000 COLLINS AVE APT 340
MIAMI BEACH FL
33140-2376
US

V. Phone/Fax

Practice location:
  • Phone: 305-717-7576
  • Fax:
Mailing address:
  • Phone: 646-221-6542
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA9114210
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: