Organization
VARIETY CHILDREN'S HOSPITAL
Active
Parent organization
NICKLAUS CHILDREN'S HOSPITAL- ADOLESCENT MEDICINE
Other names
Nicklaus Children's Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
NICKLAUS CHILDREN'S HOSPITAL- ADOLESCENT MEDICINE
Authorized official
REBECCA FRANCE (ADMINISTRATIVE DIRECTOR, RCM)
(786) 624-5876
Entity
Organization
Contact information
Practice address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 666-6511
(305) 740-5064
Mailing address
PO BOX 865095, ORLANDO, FL 32886-5095
(786) 624-5876
(786) 624-2688
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255772004
—
FL
Enumeration date
06/05/2006
Last updated
10/27/2016
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