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Organization

NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC

Active
Other names
Pediatric Specialists of America - Physical Medicine and Rehablitation
Organization subpart
No

Provider details

NPI number
Authorized official
MARCOS MESTRE (SVP)
(305) 666-6511
Entity
Organization

Contact information

Practice address
3100 SW 62ND AVE, 1ST FLOOR, TRAUMA UNIT, MIAMI, FL 33155-3009
(305) 666-6511
(305) 662-8291
Mailing address
PO BOX 947095, ATLANTA, GA 30394-7095

Taxonomy

Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Enumeration date
11/07/2019
Last updated
11/12/2024
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