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PEDIATRIC SPECIALTY GROUP INC. NPI 1588118426


NPI Information

NPI: 1588118426
Provider Name: PEDIATRIC SPECIALTY GROUP, INC.

Doing Business As: NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS - CARDIOVASCULAR SURGERY

Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Organization
Address:
3100 SW 62ND AVE
2ND FLOOR-SUITE B- DEPARTMENT OF CARDIOVASCULAR SURGERY
MIAMI, FL
ZIP 33155
Phone: (786) 624-5876
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PEDIATRIC SPECIALTY GROUP, INC. is a thoracic surgery cardiothoracic vascular surgery in Miami, FL. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. PEDIATRIC SPECIALTY GROUP, INC. NPI is 1588118426. 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 - Cardiovascular Surgery.

The provider's business location address is:

3100 SW 62ND AVE
2ND FLOOR-SUITE B- DEPARTMENT OF CARDIOVASCULAR SURGERY
MIAMI, FL
ZIP 33155
Phone: (786) 624-5876
Fax: (786) 624-2688

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 8/9/2016 and was last updated on 3/3/2021.


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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1013515204MEDICAIDFLORIDA

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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