Organization
PEDIATRIC SPECIALTY GROUP, INC.
Active
Parent organization
PEDIATRIC SPECIALTY GROUP, INC.
Other names
Nicklaus Children's Pediatric Specialists at Palmetto Bay
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEDIATRIC SPECIALTY GROUP, INC.
Authorized official
LAURA M GABER (PROVIDER RELATIONS SPECIALIST)
(786) 624-5747
Entity
Organization
Contact information
Practice address
17615 SW 97TH AVE, PALMETTO BAY, FL 33157-5636
(305) 669-6505
(305) 668-5591
Mailing address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 666-6511
(305) 662-8291
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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