National Provider Identifier Database

NICKLAUS CHILDRENS PEDIATRIC SPECIALISTS LLC
Adolescent Medicine

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.


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
* Adolescent Medicine 2080A0000X
Clinical Genetics (M.D.) 207SG0201X
Nutrition, Pediatric 133VN1004X
Pediatric Gastroenterology 2080P0206X
Pediatric Infectious Diseases 2080P0208X
Pediatric Nephrology 2080P0210X
Pediatric Rheumatology 2080P0216X

* Indicates primary specialty

NPI Profile & details for NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC

NPI Number 1306717053
Legal business name
LBN
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
Authorized official MARCOS MESTRE - (SVP)
Entity Organization
Organization subpart No
Enumeration date 09/16/2025
Last updated 09/16/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers n/a

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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