Variety Children'S Hospital
Ambulance in Opa Locka, FL. Organization (NPI-2).
NPI number1255668331
StatusActive
Last updated in NPPESJun 1, 2020
Details
- NPI
- 1255668331
- Entity type
- Organization (NPI-2)
- Legal business name
- Variety Children'S Hospital
- Organization subpart
- No
- Enumeration date
- Nov 10, 2009
- Certification date
- Jun 1, 2020
- Last updated
- Jun 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 341600000X | Ambulance | 3485 | FL | Yes |
Other names
- Nicklaus Children'S Hospital Lifeflight (Doing Business As)
Practice location
15001 Nw 42nd AveOpa Locka, FL 33054-2316
Phone 305-663-8533 · Fax 305-669-6519
Mailing address
3100 Sw 62nd AveLifeflight
Miami, FL 33155-3009
Phone 786-624-5837 · Fax 305-669-6519
Authorized official
Dawn Javersack
Svp/Cfo
7866245747
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