Provider Demographics
NPI:1811180292
Name:VARMA, AMIT BHUSHAN (MD)
Entity type:Individual
Prefix:DR
First Name:AMIT
Middle Name:BHUSHAN
Last Name:VARMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:1925 DON WICKHAM DR
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-1915
Mailing Address - Country:US
Mailing Address - Phone:352-404-8956
Mailing Address - Fax:352-404-5758
Practice Address - Street 1:1925 DON WICKHAM DR
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-1915
Practice Address - Country:US
Practice Address - Phone:352-404-8956
Practice Address - Fax:352-404-5758
Is Sole Proprietor?:No
Enumeration Date:2007-08-20
Last Update Date:2022-10-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME 99605207X00000X
FLME99605207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL114457600Medicaid