Organization
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
Active
Other names
Pediatric Specialists of America- Neurology
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, SUITE 302, MIAMI, FL 33155-3009
(786) 624-5876
(786) 624-2688
Mailing address
PO BOX 947095, ATLANTA, GA 30394-7095
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
—
—
Other
Enumeration date
08/09/2016
Last updated
11/12/2024
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