Provider Demographics
NPI:1336773928
Name:VARIETY CHILDREN'S HOPSITAL
Entity Type:Organization
Organization Name:VARIETY CHILDREN'S HOPSITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER RELATIONS SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:M
Authorized Official - Last Name:GABER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-624-5747
Mailing Address - Street 1:5959 NW 7TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3129
Mailing Address - Country:US
Mailing Address - Phone:305-666-6511
Mailing Address - Fax:305-740-5064
Practice Address - Street 1:5959 NW 7TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-3129
Practice Address - Country:US
Practice Address - Phone:305-666-6511
Practice Address - Fax:305-740-5064
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VARIETY CHILDREN'S HOPSITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-02-24
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital