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PEDIATRIC SPECIALTY GROUP INC. NPI 1285389288


NPI Information

NPI: 1285389288
Provider Name: PEDIATRIC SPECIALTY GROUP, INC.

Doing Business As: NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS - NEUROLOGY

Classification: Pediatrics - 2080P0008X
Entity Type: Organization

Specialization: Neurodevelopmental Disabilities

Address:
3100 SW 62ND AVE
MIAMI, FL
ZIP 33155
Phone: (305) 666-6511
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PEDIATRIC SPECIALTY GROUP, INC. is a neurodevelopmental disabilities pediatrics in Miami, FL. The provider is a pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions. PEDIATRIC SPECIALTY GROUP, INC. NPI is 1285389288. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Nicklaus Children's Pediatric Specialists - Neurology.

The provider's business location address is:

3100 SW 62ND AVE
MIAMI, FL
ZIP 33155-009
Phone: (305) 666-6511
Fax: (305) 662-8291

The provider's authorized official is Laura M Gaber .
The authorized official title is Provider Relations Specialist and has the following contact phone number (786) 624-5747.

The enumeration date for this NPI number is 2/17/2022 and was last updated on 6/3/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207T00000XNeurological SurgeryNo
22084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyNo
32080P0008XPediatricsNeurodevelopmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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