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Organization
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
Active
Organization
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
Active
Other names
Specialty Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARCOS MESTRE MD (SVP)
(305) 666-6511
Entity
Organization
Contact information
Practice address
3100 SW 62 AVENUE, SUITE 105, MIAMI, FL 33155
(786) 624-4121
(786) 624-4196
Mailing address
3100 SW 62ND AVE, SUITE 105, MIAMI, FL 33155-3009
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
207SG0201X
Clinical Genetics (M.D.) Physician
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
2080P0206X
Pediatric Gastroenterology Physician
—
—
2080P0208X
Pediatric Infectious Diseases Physician
—
—
2080P0210X
Pediatric Nephrology Physician
—
—
2080P0216X
Pediatric Rheumatology Physician
—
—
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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