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Organization
VARIETY CHILDREN'S HOSPITAL
Active
Organization
VARIETY CHILDREN'S HOSPITAL
Active
Parent organization
MIAMI CHILDREN'S HOSPITAL
Other names
MCH Specialist
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIAMI CHILDREN'S HOSPITAL
Authorized official
TIMOTHY BIRKENSTOCK (SVP & CFO)
(305) 669-6422
Entity
Organization
Contact information
Practice address
15025 NW 77TH AVE, MIAMI LAKES, FL 33014-6852
(786) 313-7800
Mailing address
PO BOX 863941, ATTN: MEDICAL ADMIN, ORLANDO, FL 32886-3941
(305) 662-8334
(786) 624-2688
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
—
NULL
207SG0201X
Clinical Genetics (M.D.) Physician
—
—
207T00000X
Neurological Surgery Physician
—
NULL
207T00000X
Neurological Surgery Physician
—
—
207W00000X
Ophthalmology Physician
—
NULL
207W00000X
Ophthalmology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
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
—
—
Other
Enumeration date
02/12/2014
Last updated
10/29/2014
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