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Organization

VARIETY CHILDREN'S HOSPITAL

Active
Other names
MCH Specialist
Organization subpart
No

Provider details

NPI number
Authorized official
TIMOTHY BIRKENSTOCK (SENIOR VP & CFO)
(305) 669-6422
Entity
Organization

Contact information

Practice address
2900 S COMMERCE PKWY, WESTON, FL 33331-3622
(954) 385-6200
Mailing address
PO BOX 863941, ORLANDO, FL 32886-3941
(305) 662-8334
(786) 624-2688

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
207YP0228X
Pediatric Otolaryngology Physician
Primary
2080P0205X
Pediatric Endocrinology Physician
2080P0206X
Pediatric Gastroenterology Physician
2080P0207X
Pediatric Hematology & Oncology Physician

Other

Enumeration date
04/02/2009
Last updated
10/29/2014
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