Organization
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
Active
Other names
Nicklaus Children's at Davie
Organization subpart
No
Provider details
NPI number
Authorized official
MARCOS MESTRE MD (SVP)
(305) 666-6511
Entity
Organization
Contact information
Practice address
10230 W STATE ROAD 84, DAVIE, FL 33324-4202
(305) 666-6511
Mailing address
PO BOX 947095, ATLANTA, GA 30394-7095
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
207YP0228X
Pediatric Otolaryngology Physician
—
—
2080P0202X
Pediatric Cardiology Physician
Primary
—
—
2080P0206X
Pediatric Gastroenterology Physician
—
—
208200000X
Plastic Surgery Physician
—
—
2084N0400X
Neurology Physician
—
—
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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