Organization
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
Active
Other names
Pediatric Specialists of America at Coral Springs
Organization subpart
No
Provider details
NPI number
Authorized official
MARCOS MESTRE (SVP)
(305) 666-6511
Entity
Organization
Contact information
Practice address
9750 NW 33RD ST STE 109, CORAL SPRINGS, FL 33065-4000
(954) 575-1211
(954) 575-1205
Mailing address
PO BOX 947095, ATLANTA, GA 30394-7095
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
2080P0202X
Pediatric Cardiology Physician
Primary
—
—
Other
Enumeration date
10/15/2019
Last updated
11/12/2024
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