Organization
VARIETY CHILDREN'S HOSPITAL
Active
Parent organization
NICKLAUS CHILDREN'S HOSPITAL- ORTHOPEDIC
Other names
Nicklaus Children's Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
NICKLAUS CHILDREN'S HOSPITAL- ORTHOPEDIC
Authorized official
ELIZABETH MENOCAL (AUTHORIZED OFFICIAL)
(305) 662-8357
Entity
Organization
Contact information
Practice address
3100 SW 62ND AVE, DEPARTMENT OF ORTHOPEDICS, MIAMI, FL 33155-3009
(305) 662-8366
(305) 663-9194
Mailing address
PO BOX 865095, ORLANDO, FL 32886-5095
(786) 624-5876
(786) 624-2688
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
574498-3
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255772000
—
FL
Enumeration date
03/12/2007
Last updated
09/11/2018
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