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
MR. TIMOTHY BIRKENSTOCK (CFO & SENIOR VP)
(305) 669-6422
Entity
Organization
Contact information
Practice address
2900 S COMMERCE PKWY, ORTHOPEDIC SURGERY, WESTON, FL 33331-3622
(954) 385-6200
Mailing address
PO BOX 863941, ORLANDO, FL 32886-3941
(305) 662-8334
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255772000
—
FL
Enumeration date
03/14/2007
Last updated
10/29/2014
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