Organization
VARIETY CHILDREN'S HOSPITAL
Active
Organization
VARIETY CHILDREN'S HOSPITAL
Active
Other names
MCH Specialist
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY BIRKENSTOCK (SENIOR VP & CFO)
(305) 669-6422
Entity
Organization
Contact information
Practice address
1265 CREEKSIDE PKWY, SUITE 200, NAPLES, FL 34108-1946
(305) 662-8334
Mailing address
PO BOX 863941, ORLANDO, FL 32886-3941
(305) 662-8334
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
06/06/2014
Last updated
10/29/2014
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