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PEDIATRIC SPECIALTY GROUP INC. NPI 1922552876


NPI Information

NPI: 1922552876
Provider Name: PEDIATRIC SPECIALTY GROUP, INC.

Doing Business As: NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS - INFECTIOUS DISEASE

Classification: Pediatrics - 2080P0208X
Entity Type: Organization

Specialization: Pediatric Infectious Diseases

Address:
3100 SW 62ND AVE
SUITE 206
MIAMI, FL
ZIP 33155
Phone: (786) 624-5876
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PEDIATRIC SPECIALTY GROUP, INC. is a pediatric infectious diseases pediatrics in Miami, FL. The provider is a pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments. PEDIATRIC SPECIALTY GROUP, INC. NPI is 1922552876. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Nicklaus Children's Pediatric Specialists - Infectious Disease.

The provider's business location address is:

3100 SW 62ND AVE
SUITE 206
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
12080P0208XPediatricsPediatric Infectious DiseasesYes

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
1013515218MEDICAIDFLORIDA

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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