# VARIETY CHILDREN'S HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MCH Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255575635
- **Authorized official:** TIMOTHY BIRKENSTOCK (SENIOR VP & CFO)
- **Authorized official phone:** (305) 669-6422

## Contact information

- **Practice address:** 5810 CORAL RIDGE DR, SUITE 110, CORAL SPRINGS, FL 33076-3374
- **Practice address phone:** (305) 662-8334
- **Mailing address:** PO BOX 863941, ORLANDO, FL 32886-3941
- **Mailing address phone:** (305) 662-8334
- **Mailing address fax:** (786) 624-2688

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 2080P0207X | Pediatric Hematology & Oncology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/29/2009
- **Last updated:** 10/29/2014