Organization
MIAMI CHILDREN'S HOSPITAL
Active
Other names
Variety Children's Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PEDRO ALFARO (CFO)
(305) 666-6511
Entity
Organization
Contact information
Practice address
17615 SW 97TH AVE, PALMETTO BAY, FL 33157-5636
(786) 268-2611
(786) 268-1748
Mailing address
17615 SW 97TH AVE, PALMETTO BAY, FL 33157-5636
(786) 268-2611
(786) 268-1748
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
811117100
—
FL
Enumeration date
08/15/2008
Last updated
02/24/2011
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