Organization
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
Active
Other names
Nicklaus Children's Pediatric Specialists - Endocrinology
Organization subpart
No
Provider details
NPI number
Authorized official
ROBBIN ANDERSON (CREDENTIALING SUPERVISOR)
(786) 624-5747
Entity
Organization
Contact information
Practice address
3100 SW 62ND AVE STE 102, MIAMI, FL 33155
(786) 624-5876
(786) 624-2688
Mailing address
PO BOX 947095, ATLANTA, GA 30394-7095
(786) 624-5876
(786) 624-2688
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013515205
—
FL
Enumeration date
08/12/2016
Last updated
10/29/2025
Update your record
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