# VARIETY CHILDREN'S HOSPITAL

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

## Provider details

- **NPI number:** 1255668331
- **Authorized official:** DAWN JAVERSACK ADMINISTRATION (SVP/CFO)
- **Authorized official phone:** (786) 624-5747

## Contact information

- **Practice address:** 15001 NW 42ND AVE, OPA LOCKA, FL 33054-2316
- **Practice address phone:** (305) 663-8533
- **Practice address fax:** (305) 669-6519
- **Mailing address:** 3100 SW 62ND AVE, LIFEFLIGHT, MIAMI, FL 33155-3009
- **Mailing address phone:** (786) 624-5837
- **Mailing address fax:** (305) 669-6519

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 3485 | FL | Yes |

## Other

- **Enumeration date:** 11/10/2009
- **Last updated:** 06/01/2020