# NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nicklaus Children's at South Miami - Psychology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538974837
- **Authorized official:** MARCOS MESTRE (SVP)
- **Authorized official phone:** (305) 666-6511

## Contact information

- **Practice address:** 6262 SUNSET DR STE 500, SOUTH MIAMI, FL 33143-4843
- **Practice address phone:** (305) 669-6503
- **Practice address fax:** (305) 668-8045
- **Mailing address:** PO BOX 947095, ATLANTA, GA 30394-7095

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 02/12/2025
- **Last updated:** 02/12/2025