Provider Demographics
NPI:1295349173
Name:VARONA, MERLYN (APRN)
Entity type:Individual
Prefix:
First Name:MERLYN
Middle Name:
Last Name:VARONA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3901 E COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-5230
Mailing Address - Country:US
Mailing Address - Phone:407-203-5984
Mailing Address - Fax:877-325-2741
Practice Address - Street 1:3901 E COLONIAL DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-5230
Practice Address - Country:US
Practice Address - Phone:407-203-5984
Practice Address - Fax:877-325-2741
Is Sole Proprietor?:No
Enumeration Date:2020-09-08
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11007920363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL110941300Medicaid