Provider Demographics
NPI:1336889641
Name:VARONA, ISABEL C
Entity Type:Individual
Prefix:
First Name:ISABEL
Middle Name:C
Last Name:VARONA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8401 SW 107TH AVE APT 111E
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-4333
Mailing Address - Country:US
Mailing Address - Phone:305-338-4007
Mailing Address - Fax:
Practice Address - Street 1:8401 SW 107TH AVE APT 111E
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-4333
Practice Address - Country:US
Practice Address - Phone:305-338-4007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-01
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist