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 62ND AVE
SUITE 109
MIAMI, FL33155
Phone: 786-624-5876
Fax: 786-624-2688
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X
Pediatrics 208000000X

* Indicates primary specialty

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

NPI Number 1487108320
Legal business name
LBN
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
Authorized official MARCOS MESTRE - (SVP)
Entity Organization
Organization subpart No
Enumeration date 08/09/2016
Last updated 02/12/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • FL Medicaid: 013515203

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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