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Organization
VARIETY CHILDREN'S HOSPITAL
Active
Organization
VARIETY CHILDREN'S HOSPITAL
Active
Parent organization
NICKLAUS CHILDREN'S HOSPITAL- ENT
Other names
Nicklaus Children's Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
NICKLAUS CHILDREN'S HOSPITAL- ENT
Authorized official
MS. REBECCA FRANCE (ADMINISTRATIVE DIRECTOR, RCM)
(786) 624-5876
Entity
Organization
Contact information
Practice address
3100 SW 62ND AVE, SUITE 3 NE, MIAMI, FL 33155-3009
(305) 662-8316
(305) 663-6868
Mailing address
PO BOX 865095, ORLANDO, FL 32886-5095
(786) 624-5876
(786) 624-2688
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207YP0228X
Pediatric Otolaryngology Physician
Primary
—
—
2080P0205X
Pediatric Endocrinology Physician
—
—
2080P0206X
Pediatric Gastroenterology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255772009
—
FL
Enumeration date
03/12/2007
Last updated
10/27/2016
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