Organization
VARIETY CHILDREN'S HOSPITAL
Active
Parent organization
MCH SPECIALIST RADIOLOGY
Other names
Miami Children's Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCH SPECIALIST RADIOLOGY
Authorized official
PEDRO ALFARO (SENIOR VP & CFO)
(305) 666-6511
Entity
Organization
Contact information
Practice address
2900 S COMMERCE PKWY, WESTON, FL 33331-3622
(954) 385-6274
Mailing address
PO BOX 557367, MIAMI, FL 33255-7367
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256985004
—
FL
Enumeration date
05/16/2008
Last updated
05/16/2008
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