Organization
VARIETY CHILDREN'S HOSPITAL
Active
Parent organization
MIAMI CHILDREN'S HOSPITAL
Other names
MCH Specialists
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIAMI CHILDREN'S HOSPITAL
Authorized official
MR. TIMOTHY BIRKENSTOCK (CFO & SENIOR VP)
(305) 669-6422
Entity
Organization
Contact information
Practice address
50 W. STUTERVANT STREET, ORLANDO, FL 32806
(407) 649-6907
(407) 481-2035
Mailing address
PO BOX 863286, ORLANDO, FL 32886-3286
(305) 662-8334
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255772008
—
FL
Enumeration date
03/15/2007
Last updated
10/29/2014
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