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Organization
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
Active
Organization
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBBIN ANDERSON (CREDENTIALING SUPERVISOR)
(828) 707-7385
Entity
Organization
Contact information
Practice address
3227 S HORSESHOE DR, NAPLES, FL 34104-6114
(786) 624-2610
Mailing address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
05/22/2026
Last updated
05/22/2026
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