NPI Code Detail JSON Logo

1720255904 NPI number — VARIETY CHIDREN'S HOSPITAL

NPI Number: 1720255904
Health Care Provider/Practitioner: VARIETY CHIDREN'S HOSPITAL

Information about “1720255904” NPI (VARIETY CHIDREN'S HOSPITAL) exists in 1720255904 in HTML format HTML  |  1720255904 in plain Text format TXT  |  1720255904 in PDF (Portable Document Format) PDF  |  1720255904 in an XML format XML  formats.

NPI Number : 1720255904 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1720255904",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "MCH SPECIALIST RADIOLOGY",
    "ParentOrgTIN": null,
    "OrgName": "VARIETY CHIDREN'S HOSPITAL",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 863942",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ORLANDO",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32886-3942",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "305-662-8334",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "17615 SW 97TH AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PALMETTO BAY",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33157-5636",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "305-662-8334",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/15/2008",
    "LastUpdateDate": "10/29/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BIRKENSTOCK",
    "AuthorizedOfficialFirstName": "TIMOTHY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "SENIOR VP & CFO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "305-669-6422",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2085P0229X",
        "TaxonomyName": "Pediatric Radiology Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.