Organization
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
Active
Other names
Nicklaus Children's Pediatric Specialists - Pediatric Critical Care
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, MIAMI, FL 33155-3009
(305) 662-8301
(305) 662-8304
Mailing address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 662-8301
(305) 662-8304
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
—
—
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
—
—
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
—
—
Other
Enumeration date
09/08/2020
Last updated
12/13/2024
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