Organization
VARIETY CHILDREN'S HOSPITAL
Active
Other names
MCH Toothtown
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PEDRO ALFARO (CFO & SENIOR VP)
(305) 666-6511
Entity
Organization
Contact information
Practice address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 663-8538
(305) 662-8314
Mailing address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 663-8538
(305) 662-8314
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
074560000
—
FL
Enumeration date
05/15/2007
Last updated
06/22/2011
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