# VARIETY CHILDREN'S HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MCH SPECIALIST CARDIOVASCULAR
- **Other names:** Miami Children's Hoapital
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1619142098
- **Legal business name:** MCH SPECIALIST CARDIOVASCULAR
- **Authorized official:** TIMOTHY BIRKENSTOCK (SENIOR VP & CFO)
- **Authorized official phone:** (305) 669-6422

## Contact information

- **Practice address:** 3200 SW 60TH CT, SUITE 102, MIAMI, FL 33155-4000
- **Practice address phone:** (305) 663-8401
- **Practice address fax:** (305) 669-6574
- **Mailing address:** PO BOX 863286, ORLANDO, FL 32886-3286
- **Mailing address phone:** (305) 662-8334
- **Mailing address fax:** (786) 624-2688

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/25/2008
- **Last updated:** 10/29/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 255772001 | — | FL |