NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS LLC NPI 1003360959

NPI Information

  • NPI: 1003360959
  • Provider Name: NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
  • Classification: Pediatrics - 2080P0202X
  • Specialization: Pediatric Cardiology
  • Entity Type: Organization
  • Doing Business As: NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS - CARDIOLOGY
  • Address: 3100 SW 62ND AVE
    2ND FLOOR, SUITE A- DEPARTMENT OF CARDIOLOGY
    MIAMI, FL
    ZIP 33155
  • Phone: (786) 624-5876

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NPI Details

NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC is a pediatric cardiology pediatrics in Miami, FL. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC NPI is 1003360959. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Nicklaus Children's Pediatric Specialists - Cardiology.

The provider's business location address is:

3100 SW 62ND AVE
2ND FLOOR, SUITE A- DEPARTMENT OF CARDIOLOGY
MIAMI, FL
ZIP 33155
Phone: (786) 624-5876
Fax: (786) 624-2688

The provider's authorized official is Robbin Anderson .
The authorized official title is Credentialing Supervisor and has the following contact phone number (786) 624-5747.

The enumeration date for this NPI number is 8/9/2016 and was last updated on 11/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080P0202XPediatricsPediatric CardiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1013515209MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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