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Variety Children's Hospital

Specialty details in registry · Palmetto Bay, FL

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At a glance

17615 Sw 97Th Ave, Palmetto Bay, FL 33157-5636

NPPES record updated Oct 29, 2014. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

17615 Sw 97Th Ave
Palmetto Bay, FL 33157-5636
Professional details: NPI, taxonomy & registry record
NPI1760624902
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
207YP0228X
Enumeration date
Apr 2, 2009
Record updated
Oct 29, 2014
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

207K00000X

Specialty details in registry

207YP0228X · Primary

Specialty details in registry

2080A0000X

Specialty details in registry

2080P0205X

Specialty details in registry

2080P0206X

Specialty details in registry

2080P0207X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

17615 Sw 97Th Ave
Palmetto Bay, FL 33157-5636
Phone
(786) 268-2600
Mailing address
PO BOX 863941

ORLANDO, FL 328863941
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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