# NICKLAUS CHILDREN'S HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Miami Children's Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104200021
- **Authorized official:** MS. CINDY GIBSON (GME MANAGER)
- **Authorized official phone:** (305) 669-5873

## Contact information

- **Practice address:** 3100 SW 62ND AVE, MIAMI, FL 33155-3009
- **Practice address phone:** (305) 669-5873
- **Mailing address:** 3100 SW 62ND AVE, MIAMI, FL 33155-3009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 390200000X | Student in an Organized Health Care Education/Training Program | TRN21583 | FL | Yes |

## Other

- **Enumeration date:** 07/10/2015
- **Last updated:** 07/10/2015