Individual
IDANIA VARELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
275 FONTAINEBLEAU BLVD STE 120, MIAMI, FL 33172-4500
(305) 551-3003
Mailing address
275 FONTAINEBLEAU BLVD STE 120, MIAMI, FL 33172-4500
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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