NPI Code Details Logo

NPI 1568953339

NPI 1568953339 : JENNA LYNN VARNER GEARY DO : MIAMI BEACH, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1568953339
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    JENNA LYNN VARNER GEARY DO
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/28/2018
-----------------------------------------------------
    Last Update Date     |    08/12/2021
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    4300 ALTON RD 
-----------------------------------------------------
    City                 |    MIAMI BEACH
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33140-2948
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    305-535-7953
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2301 N 70TH AVE 
-----------------------------------------------------
    City                 |    HOLLYWOOD
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33024-3705
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    954-336-5040
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207P00000X
-----------------------------------------------------
    Taxonomy Name        |    Emergency Medicine Physician
-----------------------------------------------------
    License Number       |    OS17656
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.