Healthcare Provider Details

I. General information

NPI: 1922930395
Provider Name (Legal Business Name): BLUE ZONE ENDOCRINILOGY & METABOLISM PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5742 HAMLIN GROVES TRL STE 110
WINTER GARDEN FL
34787-5782
US

IV. Provider business mailing address

5742 HAMLIN GROVES TRL STE 110
WINTER GARDEN FL
34787-5782
US

V. Phone/Fax

Practice location:
  • Phone: 786-512-1591
  • Fax:
Mailing address:
  • Phone: 786-512-1591
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State

VIII. Authorized Official

Name: JUAN C VARON
Title or Position: OWNER
Credential: MD
Phone: 786-512-1591