Organization
VARIETY CHILDREN'S HOSPITAL
Active
Parent organization
MIAMI CHILDREN'S HOSPITAL
Other names
MCH Specialist
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIAMI CHILDREN'S HOSPITAL
Authorized official
TIMOTHY BIRKENSTOCK (SVP & CFO)
(305) 669-6422
Entity
Organization
Contact information
Practice address
3915 BISCAYNE BLVD, MIAMI, FL 33137-3779
(786) 624-6000
(786) 624-6005
Mailing address
3100 SW 62ND AVE, ATTN: MEDICAL ADMIN, MIAMI, FL 33155-3009
(786) 624-5845
(786) 624-2688
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207XP3100X
Pediatric Orthopaedic Surgery Physician
—
—
207YP0228X
Pediatric Otolaryngology Physician
—
—
2080P0205X
Pediatric Endocrinology Physician
—
—
2080P0206X
Pediatric Gastroenterology Physician
Primary
—
—
Other
Enumeration date
02/12/2014
Last updated
02/12/2014
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