National Provider Identifier Database

NICKLAUS CHILDRENS PEDIATRIC SPECIALISTS LLC
Clinical Genetics (M.D.)

A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.


Contact Information

NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
3100 SW 62ND AVE
3RD FLOOR- BRAIN INSTITUTE
MIAMI, FL33155
Phone: 786-624-5876
Fax: 786-624-2688
Website:
Specialty Taxonomy Code
* Clinical Genetics (M.D.) 207SG0201X

* Indicates primary specialty

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

NPI Number 1780138628
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 04/09/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • FL Medicaid: 013515208

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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