Healthcare Provider Details

I. General information

NPI: 1235545781
Provider Name (Legal Business Name): VARLEDA MARKU JUMAPAO PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: VARLEDA MARKU

II. Dates (important events)

Enumeration Date: 07/05/2014
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1840 MEASE DR STE 307
SAFETY HARBOR FL
34695-6605
US

IV. Provider business mailing address

1840 MEASE DR STE 307
SAFETY HARBOR FL
34695-6605
US

V. Phone/Fax

Practice location:
  • Phone: 727-725-6128
  • Fax: 727-725-6168
Mailing address:
  • Phone: 727-725-6128
  • Fax: 727-725-6168

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA9108010
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: