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Contact Information

NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
10230 W STATE ROAD 84
DAVIE, FL33324-4202
 Phone: 305-666-6511
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
 

Neurology

2084N0400X 13 Physician/Neurology
 

Neurology with Special Qualifications in Child Neurology

2084N0402X 13 Physician/Neurology
 

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
 

Pediatric Orthopaedic Surgery

207XP3100X 02 Physician/General Surgery
 

Pediatric Otolaryngology

207YP0228X 04 Physician/Otolaryngology
 

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

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

NPI # 1912720186
LBN Legal business name NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
Authorized official MARCOS MESTRE - (SVP)
Entity Organization
Organization subpart 1 No
Enumeration date 11/05/2024
Last updated 11/05/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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