Organization
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
Active
Other names
Nicklaus Children's Pediatric Specialists at Plantation
Organization subpart
No
Provider details
NPI number
Authorized official
MARCOS MESTRE (SVP)
(305) 666-6511
Entity
Organization
Contact information
Practice address
8430 W BROWARD BLVD STE 300, PLANTATION, FL 33324-2700
(954) 385-6277
(954) 217-6317
Mailing address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(954) 385-6277
(954) 217-6317
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2080P0202X
Pediatric Cardiology Physician
—
—
2080P0205X
Pediatric Endocrinology Physician
—
—
2080P0206X
Pediatric Gastroenterology Physician
—
—
208200000X
Plastic Surgery Physician
—
—
Other
Enumeration date
07/02/2021
Last updated
11/12/2024
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