Organization
VARIETY CHILDREN'S HOSPITAL
Active
Parent organization
VARIETY CHILDREN'S HOSPITAL
Other names
MCH Specialist
Organization subpart
Yes
Provider details
NPI number
Legal business name
VARIETY CHILDREN'S HOSPITAL
Authorized official
MR. TIMOTHY BIRKENSTOCK (SVP & CFO)
(305) 669-6422
Entity
Organization
Contact information
Practice address
3100 SW 62ND AVE, ALLERGY & IMMUNOLOGY, MIAMI, FL 33155-3009
(305) 662-8334
(305) 663-6868
Mailing address
PO BOX 863941, ORLANDO, FL 32886-3941
(305) 662-8334
(305) 663-6868
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255772003
—
FL
05
—
371604001
—
FL
Enumeration date
03/12/2007
Last updated
10/29/2014
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