Individual
PHOENIX MAE VARELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 W CITRUS ST, ALTAMONTE SPG, FL 32714-2502
(407) 865-5642
Mailing address
2006 WINNEBAGO TRL, FERN PARK, FL 32730-3020
(305) 333-1672
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
S18171
FL
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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