Organization
VARIETY CHILDREN'S HOSPITAL
Active
Parent organization
VARIETY CHILDREN'S HOPSITAL
Other names
Nicklaus Children's Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
VARIETY CHILDREN'S HOPSITAL
Authorized official
RAIZA BEATRIZ VIDAURRAZAGA (SR. PROVIDER RELATIONS SPECIALIST)
(786) 624-2186
Entity
Organization
Contact information
Practice address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 666-6511
(305) 669-7123
Mailing address
PO BOX 557367, MIAMI, FL 33255-7367
(786) 624-5876
(786) 624-2688
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010060900
—
FL
Enumeration date
02/14/2012
Last updated
10/04/2018
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