NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS LLC NPI 1336693274

NPI Information

  • NPI: 1336693274
  • Provider Name: NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
  • Classification: Psychiatry & Neurology - 2084N0402X
  • Specialization: Neurology with Special Qualifications in Child Neurology
  • Entity Type: Organization
  • Doing Business As: PEDIATRIC SPECIALISTS OF AMERICA- NEUROLOGY
  • Address: 3100 SW 62ND AVE
    SUITE 302
    MIAMI, FL
    ZIP 33155
  • Phone: (786) 624-5876

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NPI Details

NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC is a neurology with special qualifications in child neurology psychiatry neurology in Miami, FL. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC NPI is 1336693274. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pediatric Specialists Of America- Neurology.

The provider's business location address is:

3100 SW 62ND AVE
SUITE 302
MIAMI, FL
ZIP 33155-009
Phone: (786) 624-5876
Fax: (786) 624-2688

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 enumeration date for this NPI number is 8/9/2016 and was last updated on 11/12/2024.

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 License Number License State Primary
12084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyYes

What is NPI?

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This page was last updated on: 3/30/2025

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