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Contact Information

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

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

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

NPI Number 1124572060
LBN Legal business name NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
Authorized official MARCOS MESTRE - (SVP)
Entity Organization
Organization subpart 1 No
Enumeration date 08/09/2016
Last updated 12/13/2024 - More than a year ago
Identifiers
FL Medicaid 020400900
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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