Mch Nicklaus Outpatient Center

LBN: Variety Children'S Hospital
Mch Nicklaus Outpatient Center is an health care organization with primary practice located at 11310 Legacy Ave , Palm Beach Gardens FL 33410-3658. The organization recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Ambulatory Health Care Facilities / Health Service. Ambulatory Health Care Facilities / Health Service is the primary health care specialty. Variety Children'S Hospital can be contacted via phone (305) 666-6511, or through Birkenstock, Timothy via phone (305) 666-6511.

Contact Information

Primary practice address
11310 Legacy Ave Palm Beach Gardens FL 33410-3658
Phone: (305) 666-6511
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Birkenstock, Timothy
Phone: (305) 666-6511

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1720352917
LBN Legal business name Variety Children'S Hospital
DBA Doing business as Mch Nicklaus Outpatient Center
Authorized official Birkenstock, Timothy
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2012
Last updated Sep 19th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720352917 NPPES
Florida MEDICAID 006315101

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