Organization
VARIETY CHILDREN'S HOSPITAL
Active
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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