Organization
VAREITY CHILDREN HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEDRO ALFARO (SENIOR VP & CFO)
(305) 666-6511
Entity
Organization
Contact information
Practice address
13001 SOUTHERN BLVD, LOXAHATCHEE, FL 33470-9203
(561) 798-3300
(561) 791-8108
Mailing address
PO BOX 557367, MIAMI, FL 33255-7367
(786) 624-5845
(786) 624-2688
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371604006
—
FL
Enumeration date
09/03/2010
Last updated
04/11/2012
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