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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 - Allergy and Immunology
Organization subpart
No
Provider details
NPI number
Authorized official
ROBBIN ANDERSON (CREDENTIALING SUPERVISOR)
(786) 624-5747
Entity
Organization
Contact information
Practice address
3100 SW 62ND AVE, 3RD FLOOR- 3NE WING, 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
207K00000X
Allergy & Immunology Physician
—
NULL
207K00000X
Allergy & Immunology Physician
—
—
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
—
NULL
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
—
—
Other
Enumeration date
08/09/2016
Last updated
10/29/2025
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