Nicklaus Children'S Pediatric Specialists - Adolescent Medicine

LBN: Pediatric Specialty Group, Inc.
Nicklaus Children'S Pediatric Specialists - Adolescent Medicine is an health care organization with primary practice located at 3100 Sw 62Nd Ave Suite 109, Miami FL 33155. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Adolescent Medicine is the primary health care specialty. Pediatric Specialty Group, Inc. can be contacted via phone (786) 624-5876, or through Anderson, Robbin via phone (786) 624-5747.

Contact Information

Primary practice address
3100 Sw 62Nd Ave Suite 109 Miami FL 33155
Phone: (786) 624-5876
Fax: (786) 624-2688
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Robbin
Phone: (786) 624-5747

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X

Profile Details

NPI number 1487108320
LBN Legal business name Pediatric Specialty Group, Inc.
DBA Doing business as Nicklaus Children'S Pediatric Specialists - Adolescent Medicine
Authorized official Anderson, Robbin
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2016
Last updated Jun 16th, 2023 - about last year

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 1487108320 NPPES
Florida MEDICAID 013515203

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