Organization
VARIETY CHILDREN'S HOSPITAL
Active
Other names
MCH Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
PEDRO ALFARO (SENIOR VP & CFO)
(305) 666-6511
Entity
Organization
Contact information
Practice address
15025 NW 77TH AVE, MIAMI LAKES, FL 33014-6852
(305) 666-6511
Mailing address
PO BOX 557367, MIAMI, FL 33255-7367
(786) 624-5845
(786) 624-2688
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
—
—
Other
Enumeration date
03/06/2012
Last updated
03/06/2012
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