MEDICARE: JUAN CARLOS VARON M.D.

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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	ME 100071	FL

General Provider Information

NPI Number	:	1053512350
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUAN CARLOS VARON M.D.

Provider Business Mailing Address
First Line	:	2400 N ORANGE BLOSSOM TRL STE 306
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34744-2308
Country	:	US
Telephone Number	:	407-932-6190
Fax Number	:	407-932-6191

Provider Business Practice Location Address
First Line	:	2400 N ORANGE BLOSSOM TRL STE 306
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34744-2308
Country	:	US
Telephone Number	:	407-932-6190
Fax Number	:	407-932-6191

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

Provider Enumeration Date	:	05/31/2007
Last Update Date	:	06/01/2026

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