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Contact Information

NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
3100 SW 62 AVENUE
SUITE 105
MIAMI, FL33155
 Phone: 786-624-4121
 Fax: 786-624-4196
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
 

Clinical Genetics (M.D.)

207SG0201X
 

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
 

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
 

Pediatric Infectious Diseases

2080P0208X 37 Physician/Pediatric Medicine
 

Pediatric Nephrology

2080P0210X 37 Physician/Pediatric Medicine
 

Pediatric Rheumatology

2080P0216X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for NICKLAUS CHILDRENS PEDIATRIC SPECIALISTS LLC · (Female)

NPI # 1306717053
Status Active
Credentials
Entity Individual
Enumeration date 09/16/2025
Last updated 09/16/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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