Nicklaus Children'S Coconut Creek Care Center

LBN: Pediatric Specialty Group, Inc
Nicklaus Children'S Coconut Creek Care Center is an health care organization with primary practice located at 6370 N State Road 7 Ste 100 , Coconut Creek FL 33073. The organization recently has 15 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology, Allopathic & Osteopathic Physicians / Pediatric Cardiology, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatric Endocrinology, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, Allopathic & Osteopathic Physicians / Pediatric Nephrology, Allopathic & Osteopathic Physicians / Pediatric Rheumatology, Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Pediatric Radiology, Ambulatory Health Care Facilities / Rehabilitation, Ambulatory Health Care Facilities / Urgent Care, Hospitals / Children. Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery is the primary health care specialty. Pediatric Specialty Group, Inc can be contacted via phone (954) 321-7762, or through Vidaurrazaga, Raiza Beatriz via phone (786) 624-2186.

Contact Information

Primary practice address
6370 N State Road 7 Ste 100 Coconut Creek FL 33073
Phone: (954) 321-7762
Fax: (954) 321-9596
Website:
Map and Directions
Authorized official contact:
Name: Vidaurrazaga, Raiza Beatriz
Phone: (786) 624-2186

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery 207XP3100X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology 2080P0201X
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X
Allopathic & Osteopathic Physicians / Pediatric Rheumatology 2080P0216X
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X
Ambulatory Health Care Facilities / Urgent Care 261QU0200X
Hospitals / Children 282NC2000X

Profile Details

NPI number 1003306093
LBN Legal business name Pediatric Specialty Group, Inc
DBA Doing business as Nicklaus Children'S Coconut Creek Care Center
Authorized official Vidaurrazaga, Raiza Beatriz
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2018
Last updated Sep 26th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003306093 NPPES
Florida MEDICAID 010060900

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