Organization
VARIETY CHILDREN'S HOSPITAL
Active
Other names
MCH Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY BIRKENSTOCK (SENIOR VP & CFO)
(305) 669-6422
Entity
Organization
Contact information
Practice address
3915 BISCAYNE BLVD, MIAMI, FL 33137-3779
(305) 662-8334
Mailing address
PO BOX 863942, ORLANDO, FL 32886-3942
(305) 662-8334
(786) 624-2688
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
—
—
Other
Enumeration date
02/17/2012
Last updated
10/29/2014
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