Individual
FREDDY RICARDO VARONA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.F.A.
Contact information
Practice address
3 MARYLAND FARMS STE 200, BRENTWOOD, TN 37027-5780
(800) 348-4565
Mailing address
11750 SW 40TH ST, MIAMI, FL 33175-3530
(305) 223-3000
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
24-363
FL
363A00000X
Physician Assistant
2862
PR
363AS0400X
Surgical Physician Assistant
2862
PR
Other
Enumeration date
11/08/2024
Last updated
12/16/2025
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