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Organization
VARIETY CHILDREN'S HOSPITAL
Active
Organization
VARIETY CHILDREN'S HOSPITAL
Active
Parent organization
NICKLAUS CHILDREN'S HOSPITAL
Other names
NCH Pediatric Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
NICKLAUS CHILDREN'S HOSPITAL
Authorized official
MR. TIMOTHY BIRKENSTOCK (CFO & SENIOR VP)
(305) 666-6511
Entity
Organization
Contact information
Practice address
3200 SW 62ND CT, MIAMI, FL 33155-3069
(305) 669-6505
(305) 669-6447
Mailing address
PO BOX 863940, ORLANDO, FL 32886-3940
(786) 624-5876
(786) 624-2688
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010060909
—
FL
05
—
010060911
—
FL
05
—
010060914
—
FL
05
—
010060916
—
FL
Enumeration date
06/03/2006
Last updated
03/04/2016
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