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Organization
VARIETY CHILDREN'S HOSPITAL
Active
Organization
VARIETY CHILDREN'S HOSPITAL
Active
Other names
MCH Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY BIRKENSTOCK (SENIOR VP & CFO)
(305) 669-6422
Entity
Organization
Contact information
Practice address
5810 CORAL RIDGE DR, SUITE 110, CORAL SPRINGS, FL 33076-3374
(305) 662-8334
Mailing address
PO BOX 863941, ORLANDO, FL 32886-3941
(305) 662-8334
(786) 624-2688
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
—
NULL
207YP0228X
Pediatric Otolaryngology Physician
—
—
2080P0205X
Pediatric Endocrinology Physician
—
NULL
2080P0205X
Pediatric Endocrinology Physician
—
—
2080P0206X
Pediatric Gastroenterology Physician
—
NULL
2080P0206X
Pediatric Gastroenterology Physician
—
—
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
—
NULL
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
04/29/2009
Last updated
10/29/2014
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