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NPI Code Detail

MEDICARE: DR. PREM K VARMA MD

MEDICARE: DR. PREM K VARMA MD
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
1207R00000XInternal Medicine PhysicianME77816FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1WF481OTHERFLHFMG

General Provider Information

NPI Number : 1720066350
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PREM K VARMA MD
Provider Business Mailing Address
First Line : 3300 S FISKE BLVD
Second Line :
City : ROCKLEDGE
State : FL
Zip : 32955-4306
Country : US
Telephone Number : 321-984-1333
Fax Number :
Provider Business Practice Location Address
First Line : 1220 N HIGHWAY A1A STE 147
Second Line :
City : INDIALANTIC
State : FL
Zip : 32903-2858
Country : US
Telephone Number : 321-984-1333
Fax Number : 321-951-9127
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2006
Last Update Date : 02/04/2026

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Directions to “ DR. PREM K VARMA MD” Practice Location

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