Organization
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
Active
Parent organization
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
Other names
Nicklaus Children's Specialty Care Center at Fort Lauderdale, Nicklaus Children's at Broward Health Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
Authorized official
MARCOS MESTRE (SVP/CCOO)
(305) 666-6511
Entity
Organization
Contact information
Practice address
1625 SE 3RD AVE, FORT LAUDERDALE, FL 33316-2521
(305) 666-6511
Mailing address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
—
—
2080P0206X
Pediatric Gastroenterology Physician
Primary
—
—
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
—
—
Other
Enumeration date
07/23/2025
Last updated
01/27/2026
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