NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS LLC NPI 1669926507

NPI Information

NPI: 1669926507
Provider Name: NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
Classification: Pediatrics - 2080P0201X
Specialization: Pediatric Allergy/Immunology
Entity Type: Organization
:
Address: 3100 SW 62ND AVE
3RD FLOOR- 3NE WING
MIAMI, FL
ZIP 33155
Phone: (786) 624-5876

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NPI Details

NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC is a pediatric allergy/immunology pediatrics in Miami, FL. The provider is a pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC NPI is 1669926507. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

3100 SW 62ND AVE
3RD FLOOR- 3NE WING
MIAMI, FL
ZIP 33155
Phone: (786) 624-5876
Fax: (786) 624-2688

The provider's authorized official is Robbin Anderson .
The authorized official title is Credentialing Supervisor 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 10/29/2025.

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	License Number	License State	Primary
1	207K00000X	Allergy & Immunology				No
2	2080P0201X	Pediatrics	Pediatric Allergy/Immunology			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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	013515202	MEDICAID	FLORIDA

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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