Provider Demographics
NPI:1891333555
Name:VARLI, ATAY (AP)
Entity Type:Individual
Prefix:
First Name:ATAY
Middle Name:
Last Name:VARLI
Suffix:
Gender:M
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9222 LEELAND ARCHER BLVD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32836-8838
Mailing Address - Country:US
Mailing Address - Phone:407-879-4995
Mailing Address - Fax:
Practice Address - Street 1:7250 S KIRKMAN RD STE 102
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-8952
Practice Address - Country:US
Practice Address - Phone:407-730-9695
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-12
Last Update Date:2019-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP4030171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist