Organization

Pediatric Specialty Group, Inc.

May also be knows as Nicklaus Children'S Pediatric Specialists - Hospitalists

Hospitalist Physician in Miami, FL(View on Map)

Legal Business Name

Pediatric Specialty Group, Inc.

Also Known As

Nicklaus Children'S Pediatric Specialists - Hospitalists

NPI Number

1871047712

NPI Type

Organization

Enumeration Date

08/09/2016

Specialties

(Taxonomies)

Code

208M00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 865095
3100 SW 62ND AVE

City

Orlando
Miami

State

FL
FL

Postal Code

32886-5095
33155

Country

US
US

Telephone Number

(786) 624-5876
(786) 624-5876

Authorized Official

Name

Laura Gaber

Title or Position

PROVIDER RELATIONS SPECIALIST

Telephone Number

(786) 624-5747

Identifiers

Identifier

013515218

Identifier State

FL

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/03/2021

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