Organization
VARIETY CHILDREN'S HOSPITAL
Active
Parent organization
VARIETY CHILDREN'S HOSPITAL
Other names
Nicklaus Children's Miami Lakes Outpatient Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
VARIETY CHILDREN'S HOSPITAL
Authorized official
GEORGETTE ALFAU (PAYER CONTRACT/CREDENTIALING ANALYS)
(786) 624-5795
Entity
Organization
Contact information
Practice address
15025 NW 77TH AVE, MIAMI LAKES, FL 33014-6852
(305) 666-6511
Mailing address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 666-6511
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
282N00000X
General Acute Care Hospital
—
—
282NC2000X
Children's Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010060928
—
FL
Enumeration date
02/15/2012
Last updated
11/26/2025
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