Nicklaus Children'S Pediatric Specialists - Picu
LBN: Pediatric Specialty Group, Inc.
Nicklaus Children'S Pediatric Specialists - Picu is an health care organization with primary practice located at 11190 Health Park Blvd , Naples FL 34110-5729. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is the primary health care specialty.
Pediatric Specialty Group, Inc. can be contacted via phone (239) 624-5000, or through Gaber, Laura M via phone (786) 624-5747.
Contact Information
Primary practice address
11190 Health Park Blvd
Naples FL 34110-5729
Phone: (239) 624-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | ||
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X |
Profile Details
| NPI number | 1245951136 |
|---|---|
| LBN Legal business name | Pediatric Specialty Group, Inc. |
| DBA Doing business as | Nicklaus Children'S Pediatric Specialists - Picu |
| Authorized official | Gaber, Laura M |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Sep 8th, 2022 |
| Last updated | Oct 10th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245951136 | NPPES |
| Florida | MEDICAID | 013515239 |
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