Organization Active NPI

Variety Children's Hospital

Doing business as MCH Specialist

  • Vascular Surgery Physician
  • Orlando, FL
National Provider Identifier
1679607725
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
VARIETY CHILDREN'S HOSPITAL
Doing business as
MCH Specialist
Practice address
92 W Miller St
Orlando, FL 32806-2032
Phone
(407) 649-6907
Fax
(407) 481-2035
NPI assigned
Mar 14, 2007
Last updated
Jun 2, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
MIAMI CHILDREN'S HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Pedro Alfaro
Title
Cfo & Senior VP
Phone
(305) 669-6422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X NU Primary

Addresses

Primary practice location

92 W Miller St
Orlando, FL 32806-2032

Mailing address

PO Box 557367
Miami, FL 33255-7367

Other identifiers 1

IdentifierTypeStateIssuer
255772007MedicaidFL

Other names 1

  • MCH Specialist Doing business as

National Provider Directory

National Provider Directory
Part of
Variety Children's Hospital

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1679607725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 557367",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332557367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 W MILLER ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062032",
            "telephone_number": "407-649-6907",
            "fax_number": "407-481-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VARIETY CHILDREN'S HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIAMI CHILDREN'S HOSPITAL",
        "enumeration_date": "2007-03-14",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "ALFARO",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "CFO & SENIOR VP",
        "authorized_official_telephone_number": "305-669-6422",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255772007",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCH Specialist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.