# NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nicklaus Children's Pediatric Specialists - Nephrology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396299244
- **Authorized official:** MARCOS MESTRE (SVP)
- **Authorized official phone:** (305) 666-6511

## Contact information

- **Practice address:** 3100 SW 62ND AVE, SUITE 304, MIAMI, FL 33155
- **Practice address phone:** (786) 624-5876
- **Practice address fax:** (786) 624-2688
- **Mailing address:** PO BOX 947095, ATLANTA, GA 30394-7095

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0210X | Pediatric Nephrology Physician | — | NULL | Yes |
| 2080P0210X | Pediatric Nephrology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/09/2016
- **Last updated:** 11/12/2024