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VARIETY CHILDREN'S HOSPITAL NPI 1336271527


NPI Information

NPI: 1336271527
Provider Name: VARIETY CHILDREN'S HOSPITAL

Doing Business As: MCH SPECIALIST

Classification: Family Medicine - 207QA0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
17615 SW 97 AVE
MIAMI, FL
ZIP 33157
Phone: (786) 624-3856
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VARIETY CHILDREN'S HOSPITAL is an adolescent medicine family medicine in Miami, FL. The provider is a family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. VARIETY CHILDREN'S HOSPITAL NPI is 1336271527. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mch Specialist.

The provider's business location address is:

17615 SW 97 AVE
MIAMI, FL
ZIP 33157-636
Phone: (786) 624-3856
Fax: (786) 268-1738

The provider's authorized official is Pedro Alfaro .
The authorized official title is Svp & Cfo and has the following contact phone number (305) 669-6422.

The enumeration date for this NPI number is 3/12/2007 and was last updated on 6/2/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QA0000XFamily MedicineAdolescent MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1K6961MEDICARE PINFLORIDA
2255772010MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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