Provider Demographics
NPI:1780668129
Name:VAROUNIS, GEORGE (DPM)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:
Last Name:VAROUNIS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 BEVILLE RD STE 606-370
Mailing Address - Street 2:
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32114-5646
Mailing Address - Country:US
Mailing Address - Phone:386-226-4858
Mailing Address - Fax:386-226-4856
Practice Address - Street 1:1500 BEVILLE RD STE 606-370
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32114-5646
Practice Address - Country:US
Practice Address - Phone:386-226-4858
Practice Address - Fax:386-226-4856
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO2962213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLT45329Medicare UPIN
FL0880600002Medicare NSC