Organization
PEDIATRIC SPECIALTY GROUP, INC.
Active
Parent organization
PEDIATRIC SPECIALTY GROUP, INC.
Other names
Nicklaus Childrens Pediatric Specialists at University Park
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
800 SW 108TH AVE STE 100, MIAMI, FL 33174-2555
(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
—
—
Other
Enumeration date
11/12/2021
Last updated
11/12/2021
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