# NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC

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

## Provider details

- **NPI number:** 1518681337
- **Authorized official:** ROBBIN ANDERESON (CREDENTIALING SUPERVISOR)
- **Authorized official phone:** (786) 624-5747

## Contact information

- **Practice address:** 3100 SW 62ND AVE, MIAMI, FL 33155-3009
- **Practice address phone:** (305) 666-6511
- **Mailing address:** 3100 SW 62ND AVE, MIAMI, FL 33155-3009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367H00000X | Anesthesiologist Assistant | — | — | Yes |

## Other

- **Enumeration date:** 09/27/2022
- **Last updated:** 10/29/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 013515238 | — | FL |