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Contact Information

NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
3100 SW 62ND AVE
SUITE 122
MIAMI, FL33155
 Phone: 786-624-5876
 Fax: 786-624-2688
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Otolaryngology

207YP0228X 04 Physician/Otolaryngology
Indicates primary specialty

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

NPI Number 1902350853
Status Active
Credentials
Entity Individual
Enumeration date 08/09/2016
Last updated 04/09/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • FL Medicaid 013515221
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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