Organization
VARIETY CHILDREN'S HOSPITAL
Active
Other names
Stuart Central Park Office
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY BIRKENSTOCK (SVP AND CFO)
(786) 624-6422
Entity
Organization
Contact information
Practice address
10 SE CENTRAL PKWY, SUITE 222, STUART, FL 34994-5913
(561) 741-5628
(772) 266-8802
Mailing address
PO BOX 863286, ORLANDO, FL 32886-3286
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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