Active NPI
Variety Children's Hospital
Doing business as MCH Specialist
- Vascular Surgery Physician
- Orlando, FL
National Provider Identifier
1679607725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- 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, 2008
- Organization subpart
- Yes
- Parent organization
- MIAMI 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
- Mr. Pedro Alfaro
- Title
- Cfo & Senior VP
- Phone
- (305) 669-6422
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 255772007 | Medicaid | FL |
Other names 1
- MCH Specialist
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.