NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS LLC NPI 1780138628

NPI Information

  • NPI: 1780138628
  • Provider Name: NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
  • Classification: Medical Genetics - 207SG0201X
  • Specialization: Clinical Genetics (M.D.)
  • Entity Type: Organization
  • :
  • Address: 3100 SW 62ND AVE
    3RD FLOOR- BRAIN INSTITUTE
    MIAMI, FL
    ZIP 33155
  • Phone: (786) 624-5876

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NPI Details

NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC is a clinical genetics (m.d.) medical genetics in Miami, FL. The provider is a clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC NPI is 1780138628. The provider is registered as an organization entity type and is a single specialty group.
The provider .

The provider's business location address is:

3100 SW 62ND AVE
3RD FLOOR- BRAIN INSTITUTE
MIAMI, FL
ZIP 33155
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 4/9/2025.

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
1207SG0201XMedical GeneticsClinical Genetics (M.D.)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
1013515208MEDICAIDFLORIDA

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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