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Organization
VARIETY CHILDREN'S HOSPITAL
Active
Organization
VARIETY CHILDREN'S HOSPITAL
Active
Other names
MCH Pediatric Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY BIRKENSTOCK (SVP & CFO)
(305) 669-6422
Entity
Organization
Contact information
Practice address
17615 SW 97TH AVE, PALMETTO BAY, FL 33157-5636
(305) 669-6505
(305) 669-6447
Mailing address
PO BOX 863940, ORLANDO, FL 32886-3940
(305) 662-8334
(786) 624-2688
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
01/25/2012
Last updated
10/29/2014
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