MEDICARE: DR. LINDA D VARISCO D.C.

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	111N00000X	Chiropractor	CH0005882	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	BLUECROSS BLUE SHIEL	OTHER	FL	74970

General Provider Information

NPI Number	:	1437138104
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LINDA D VARISCO D.C.

Provider Business Mailing Address
First Line	:	7000 W OAKLAND PARK BLVD
Second Line	:	#202
City	:	LAUDERHILL
State	:	FL
Zip	:	33313-1016
Country	:	US
Telephone Number	:	954-572-1099
Fax Number	:	954-572-4409

Provider Business Practice Location Address
First Line	:	7000 W OAKLAND PARK BLVD
Second Line	:	#202
City	:	LAUDERHILL
State	:	FL
Zip	:	33313-1016
Country	:	US
Telephone Number	:	954-572-1099
Fax Number	:	954-572-4409

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

Provider Enumeration Date	:	01/11/2006
Last Update Date	:	07/08/2007

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