Organization
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
Active
Parent organization
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
Other names
Nicklaus Children's Boynton Beach Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
Authorized official
MARCOS MESTRE MD (SVP)
(305) 666-6511
Entity
Organization
Contact information
Practice address
10383 HAGEN RANCH RD STE 200, BOYNTON BEACH, FL 33437-3782
(561) 799-7272
(561) 799-7274
Mailing address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 666-6511
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
—
—
207XP3100X
Pediatric Orthopaedic Surgery Physician
—
—
2080P0201X
Pediatric Allergy/Immunology Physician
—
—
2080P0202X
Pediatric Cardiology Physician
Primary
—
—
2080P0205X
Pediatric Endocrinology Physician
—
—
2080P0206X
Pediatric Gastroenterology Physician
—
—
2080P0210X
Pediatric Nephrology Physician
—
—
2080P0216X
Pediatric Rheumatology Physician
—
—
208200000X
Plastic Surgery Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
261QR0200X
Radiology Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
282N00000X
General Acute Care Hospital
—
—
282NC2000X
Children's Hospital
—
—
Other
Enumeration date
06/30/2017
Last updated
08/05/2025
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