| Birdie Varnedore Md, P.a. | |
|
2823 Northampton Ave Orlando FL 32828-7912 | |
| (407) 754-6490 | |
| (407) 512-4050 |
| Full Name | Birdie Varnedore Md, P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2823 Northampton Ave, Orlando, Florida |
| Authorized Official Name and Position | Birdie Varnedore (OWNER/PHYSICIAN) |
| Authorized Official Contact | 4077546490 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Birdie Varnedore Md, P.a. 2823 Northampton Ave Orlando FL 32828-7912 Ph: (407) 754-6490 | Birdie Varnedore Md, P.a. 2823 Northampton Ave Orlando FL 32828-7912 Ph: (407) 754-6490 |
| NPI Number | 1508827676 |
|---|---|
| Provider Enumeration Date | 03/29/2006 |
| Last Update Date | 01/29/2016 |
| Medicare PECOS PAC ID | 3870556897 |
|---|---|
| Medicare Enrollment ID | O20041110000236 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508827676 | NPI | - | NPPES |
| 271065000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Birdie M Varnedore |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063473122 PECOS PAC ID: 3678536695 Enrollment ID: I20041111000309 |
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