# VARIETY CHILDREN'S HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nicklaus Outpatient Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467906313
- **Authorized official:** REBECCA FRANCE (ADMINISTRATIVE DIRECTOR OF RCM)
- **Authorized official phone:** (786) 624-5715

## Contact information

- **Practice address:** 11310 LEGACY AVE, PALM BEACH GARDENS, FL 33410-3658
- **Practice address phone:** (561) 624-9188
- **Practice address fax:** (561) 624-3864
- **Mailing address:** PO BOX 864844, ORLANDO, FL 32886-4851
- **Mailing address phone:** (786) 624-5876
- **Mailing address fax:** (786) 624-2688

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 2085P0229X | Pediatric Radiology Physician | — | NULL | — |
| 2085P0229X | Pediatric Radiology Physician | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225400000X | Rehabilitation Practitioner | — | NULL | — |
| 225400000X | Rehabilitation Practitioner | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/09/2016
- **Last updated:** 12/01/2016