NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS LLC NPI 1316468259

NPI Information

NPI: 1316468259
Provider Name: NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
Classification: Pediatrics - 2080P0202X
Specialization: Pediatric Cardiology
Entity Type: Organization
:
CLIA Number: 10D2137506
Address: 10383 HAGEN RANCH RD STE 200
BOYNTON BEACH, FL
ZIP 33437
Phone: (561) 799-7272

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NPI Details

NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC is a pediatric cardiology pediatrics in Boynton Beach, FL. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC NPI is 1316468259. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

10383 HAGEN RANCH RD STE 200
BOYNTON BEACH, FL
ZIP 33437-782
Phone: (561) 799-7272
Fax: (561) 799-7274

The provider's authorized official is Marcos Mestre .
The authorized official title is Svp and has the following contact phone number (305) 666-6511.

The CLIA number assigned to this NPI record is 10D2137506 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/30/2017 and was last updated on 8/5/2025.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QU0200X	Clinic/Center	Urgent Care	No
2	2080P0210X	Pediatrics	Pediatric Nephrology	No
3	2080P0216X	Pediatrics	Pediatric Rheumatology	No
4	208200000X	Plastic Surgery		No
5	2085P0229X	Radiology	Pediatric Radiology	No
6	261QR0200X	Clinic/Center	Radiology	No
7	261QR0400X	Clinic/Center	Rehabilitation	No
8	282N00000X	General Acute Care Hospital		No
9	282NC2000X	General Acute Care Hospital	Children	No
10	207T00000X	Neurological Surgery		No
11	207XP3100X	Orthopaedic Surgery	Pediatric Orthopaedic Surgery	No
12	2080P0201X	Pediatrics	Pediatric Allergy/Immunology	No
13	2080P0205X	Pediatrics	Pediatric Endocrinology	No
14	2080P0206X	Pediatrics	Pediatric Gastroenterology	No
15	2080P0202X	Pediatrics	Pediatric Cardiology	Yes

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: 11/21/2025

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