Organization
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
Active
Other names
Specialty Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARCOS MESTRE MD (SVP)
(305) 666-6511
Entity
Organization
Contact information
Practice address
3100 SW 62 AVENUE, SUITE 105, MIAMI, FL 33155
(786) 624-4121
(786) 624-4196
Mailing address
3100 SW 62ND AVE, SUITE 105, MIAMI, FL 33155-3009
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
207SG0201X
Clinical Genetics (M.D.) Physician
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
2080P0206X
Pediatric Gastroenterology Physician
—
—
2080P0208X
Pediatric Infectious Diseases Physician
—
—
2080P0210X
Pediatric Nephrology Physician
—
—
2080P0216X
Pediatric Rheumatology Physician
—
—
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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