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Organization
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
Active
Organization
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
Active
Other names
Nicklaus Children's Pediatric Specialists - Emergency Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MARCOS MESTRE MD (SVP)
(786) 624-5747
Entity
Organization
Contact information
Practice address
3100 SW 62ND AVE, MIAMI, FL 33155
(786) 624-5876
(786) 624-2688
Mailing address
PO BOX 947095, ATLANTA, GA 30394-7095
(786) 624-5876
(786) 624-2688
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
—
NULL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
NULL
Other
Enumeration date
08/19/2014
Last updated
09/02/2025
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