Organization
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
Active
Other names
Nicklaus Children's Pediatric Specialists - AA
Organization subpart
No
Provider details
NPI number
Authorized official
ROBBIN ANDERESON (CREDENTIALING SUPERVISOR)
(786) 624-5747
Entity
Organization
Contact information
Practice address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 666-6511
Mailing address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013515238
—
FL
Enumeration date
09/27/2022
Last updated
10/29/2025
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