Active NPI
Variety Children'S Hospital
- Children's Hospital
- Doral, FL
National Provider Identifier
1376700419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Children's Hospital
- Legal business name
- VARIETY CHILDREN'S HOSPITAL
- Practice address
- 3601 NW 107TH Ave
Doral, FL 33178-4377 - Phone
- (305) 666-6511
- NPI assigned
- May 16, 2008
- Organization subpart
- Yes
- Parent organization
- VARIETY CHILDREN'S HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dawb Javersack
- Title
- SVP/Cfo
- Phone
- (305) 666-6511
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | |||
| Rehabilitation Clinic/Center | 261QR0400X | |||
| Urgent Care Clinic/Center | 261QU0200X | |||
| General Acute Care Hospital | 282N00000X | |||
| Children's Hospital | 282NC2000X | Primary |
Addresses
Primary practice location
3601 NW 107TH Ave
Doral, FL 33178-4377
Mailing address
3100 SW 62ND Ave
Miami, FL 33155-3009
Phone (305) 666-6511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010060924 | Medicaid | FL |
Other names 1
- Nicklaus Children's Doral Outpatient Center
National Provider Directory
National Provider Directory- Part of
- Miami Children'S Hosptial
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764115200000",
"number": "1376700419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 SW 62ND AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331553009",
"telephone_number": "305-666-6511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 NW 107TH AVE",
"city": "DORAL",
"state": "FL",
"postal_code": "331784377",
"telephone_number": "305-666-6511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VARIETY CHILDREN'S HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "VARIETY CHILDREN'S HOSPITAL",
"enumeration_date": "2008-05-16",
"last_updated": "2025-11-26",
"certification_date": "2025-11-26",
"status": "A",
"authorized_official_last_name": "JAVERSACK",
"authorized_official_first_name": "DAWB",
"authorized_official_title_or_position": "SVP/CFO",
"authorized_official_telephone_number": "305-666-6511"
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": null,
"license": null,
"primary": false
},
{
"code": "282NC2000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Children",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010060924",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Nicklaus Children's Doral Outpatient Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Nicklaus Children's Doral Outpatient Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.