NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS LLC NPI 1912720186

NPI Information

  • NPI: 1912720186
  • Provider Name: NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
  • Classification: Pediatrics - 2080P0202X
  • Specialization: Pediatric Cardiology
  • Entity Type: Organization
  • Address: 10230 W STATE ROAD 84
    DAVIE, FL
    ZIP 33324
  • Phone: (305) 666-6511

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NPI Details

NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC is a pediatric cardiology pediatrics in Davie, 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 1912720186. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10230 W STATE ROAD 84
DAVIE, FL
ZIP 33324-202
Phone: (305) 666-6511

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 11/5/2024 and was last updated on 11/5/2024.

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
1207XP3100XOrthopaedic SurgeryPediatric Orthopaedic SurgeryNo
2207XX0005XOrthopaedic SurgerySports MedicineNo
3207YP0228XOtolaryngologyPediatric OtolaryngologyNo
42080P0202XPediatricsPediatric CardiologyYes
52080P0206XPediatricsPediatric GastroenterologyNo
6208200000XPlastic SurgeryNo
72084N0400XPsychiatry & NeurologyNeurologyNo
82084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyNo
9261QM1300XClinic/CenterMulti-SpecialtyNo

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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