VARIETY CHILDREN'S HOSPITAL (NPI# 1679607725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679607725 |
| Entity Type | Organization |
| Organization Name | VARIETY CHILDREN'S HOSPITAL |
| Other Organization Name | MCH SPECIALIST |
| Practice Address |
92 W Miller St Orlando FL 32806-2032 |
| Mailing Address |
Po Box 557367 Miami FL 33255-7367 |
| Practice Telephone | 4076496907 |
| Practice Fax Number | 4074812035 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2008-06-02 |
| Authorized Official Name | MR. PEDRO ALFARO (CFO & SENIOR VP) |
| Authorized Official Telephone | 3056696422 |
| Is Organization Subpart | Y |
| Parent Organization Name | MIAMI CHILDREN'S HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 255772007 | 05 |
| Other Name | Type Code |
|---|---|
| MCH Specialist | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386143485 | Variety Children's Hospital | Clinic/Center | 2072 Ne 8th St, Homestead, FL 33033-4702 | 2018-02-05 |
| 1972013373 | Variety Children's Hospital | Clinic/Center | 990 W 49th St, Hialeah, FL 33012-3405 | 2017-10-11 |
| 1154850709 | Variety Children's Hospital | Clinic/Center | 11521 S Dixie Hwy, Pinecrest, FL 33156-4445 | 2017-06-07 |
| 1326402363 | Variety Children's Hospital | Clinic/Center | 10 Se Central Pkwy, Suite 222, Stuart, FL 34994-5913 | 2016-04-06 |
| 1033594049 | Variety Children's Hospital | Clinic/Center | 1 Seminole Way, Hollywood, FL 33314-6407 | 2015-07-21 |
| 1083099022 | Variety Children's Hospital | Clinic/Center | 5223 Orient Rd, Tampa, FL 33610-4114 | 2015-07-20 |
| 1457736407 | Variety Children's Hospital | Clinic/Center | 3370 Forest Hill Blvd, West Palm Beach, FL 33406-5870 | 2015-07-20 |
| 1841675881 | Variety Children's Hospital | Clinic/Center | 9487 Regency Square Blvd, Jacksonville, FL 32225-8183 | 2015-07-20 |
| 1730561481 | Variety Children's Hospital | Clinic/Center | 11449 Sw 40th St, Miami, FL 33165-3311 | 2015-06-18 |
| 1982006391 | Variety Children's Hospital | Clinic/Center | 8895 Sw 136th St, Miami, FL 33176-5816 | 2014-09-17 |
| Street Address |
92 W MILLER ST |
| City | ORLANDO |
| State | FL |
| Zip Code | 32806-2032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265402424 | Thidaporn Tanpattana | Pediatrics | 92 W Miller St, Orlando, FL 32806-2032 | 2006-01-23 |
| 1447869938 | Caroline Boudet Johnson | Nurse Practitioner | 92 W Miller St, Orlando, FL 32806-2032 | 2020-07-30 |
| 1699398461 | Kerri Lynn Telibasa | Nurse Practitioner | 92 W Miller St, Orlando, FL 32806-2032 | 2020-05-27 |
| 1295368215 | Amanda Rae Zakrajsek | Nurse Anesthetist, Certified Registered | 92 W Miller St, Orlando, FL 32806-2036 | 2020-02-18 |
| 1952947145 | Alexis Chloe Mcgavock | Registered Nurse | 92 W Miller St, Orlando, FL 32806-2032 | 2019-11-22 |
| 1457993933 | Britni Norris | Pediatrics | 92 W Miller St, Orlando, FL 32806-2036 | 2019-10-16 |
| 1154963809 | Alyssa Jane Grundon | Registered Nurse | 92 W Miller St, Orlando, FL 32806-2032 | 2019-10-15 |
| 1932662673 | Amar M Ingravera | Student in an Organized Health Care Education/Training Program | 92 W Miller St, Orlando, FL 32806-2032 | 2019-04-10 |
| 1154884807 | Keely B Larsen | Student in an Organized Health Care Education/Training Program | 92 W Miller St, Orlando, FL 32806-2032 | 2019-04-10 |
| 1154884815 | Shannen M Mcginley-vallee | Student in an Organized Health Care Education/Training Program | 92 W Miller St, Orlando, FL 32806-2032 | 2019-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585674 | Erika Williams | Pharmacist | 2715 South Orlando Ave, Orlando, FL 32806 | 2020-10-13 |
| 1013545664 | Johanna Yadira Cook | Registered Nurse | Orlando Health Orlando Regional Medical Center, 52 W. Underwood St, Orlando, FL 32806 | 2020-03-30 |
| 1396372306 | Warren Andrew Williams | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Ave., 5th Fl, Mp# 43, Orlando, FL 32806 | 2020-03-27 |
| 1225665433 | Astrid Helen Casin | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Avenue, 5th Fl., Mp#43, Orland, FL 32806 | 2020-03-26 |
| 1508404211 | Hidden Potential Florida LLC | Assistant Behavior Analyst | 2857 South Bumby Avenue, Orlando, FL 32806 | 2019-12-12 |
| 1720639883 | Cynthia Lee Kling | Clinical Nurse Specialist | Arnold Palmer Hospital, 92 W. Miller St., Orlando, FL 32806 | 2019-09-20 |
| 1033769930 | Darleen Ann Williams | Clinical Nurse Specialist | 52 W. Underwood, Orlando, FL 32806 | 2019-09-13 |
| 1508412644 | Trischaday Kimberley Demetrius | Nurse Practitioner | Orlando Epilepsy Center, 226 W Michigan Street, Orlando, FL 32806 | 2019-08-14 |
| 1962964809 | Ajc Software Inc | Prosthetic/Orthotic Supplier | 1405 South Orange Avenue Suite 308, Orlando, FL 32806 | 2019-04-01 |
| 1598232852 | Sodo Smiles Dentistry, Pa | Dentist | 3123 S. Orange Ave., Suite 107, Orlando, FL 32806 | 2018-10-25 |
| Find all providers in zip 32806 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619194099 | Gerard Paul De Castro | Surgery | 13800 Veterans Way Dept Of, Orlando, FL 32827-7401 | 2007-04-19 |
| 1396826707 | Charles S. Garnette | Surgery | 7412 Docs Grove Cir, Orlando, FL 32819-8010 | 2006-10-19 |
| 1396724571 | Charles S. Thompson | Surgery | 80 W Michigan St, Orlando, FL 32806-4453 | 2006-01-16 |
| 1942288808 | Manuel Ramon Perez-izquierdo | Surgery | 2415 N Orange Ave Ste 302, Orlando, FL 32804-5505 | 2006-01-02 |
| 1255331666 | Vascular Center of Orlando, P.a. | Surgery | 1200 Edgewater Dr, Orlando, FL 32804-6314 | 2005-07-28 |
| 1891243051 | Vvc Viera LLC | Surgery | 1200 Edgewater Dr, Orlando, FL 32804-6314 | 2016-09-16 |
| 1649665639 | Rachel Elizabeth Wilson | Surgery | 2415 N Orange Ave Ste 302, Orlando, FL 32804-5505 | 2015-04-06 |
| 1629368030 | Mohammad Nabeel Abbasi | Surgery | 1222 S Orange Ave, Orlando, FL 32806-1215 | 2011-04-19 |
| 1740457365 | Edgar David Guzman Arrieta | Surgery | 1222 S Orange Ave, Orlando, FL 32806-1215 | 2008-05-13 |
| 1952571671 | David Varnagy | Surgery | 2415 N Orange Ave Ste 302, Orlando, FL 32804-5505 | 2008-03-10 |
| Find all providers in ORLANDO | ||||
Please comment or provide details below to improve the information on VARIETY CHILDREN'S HOSPITAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.