Organization
DIABETES VIRTUAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AJAY VARANASI M.D. (PRESIDENT)
(727) 269-5618
Entity
Organization
Contact information
Practice address
4903 W BAY WAY DR, TAMPA, FL 33629-4803
(727) 345-5222
(727) 345-4066
Mailing address
4903 W BAY WAY DR, TAMPA, FL 33629-4803
(727) 345-5222
(727) 345-4066
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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