Nicklaus Children'S Pediatric Specialists, LLC
Dietitian, Registered in Miami, FL. Organization (NPI-2).
NPI number1124572060
StatusActive
Last updated in NPPESDec 13, 2024
Details
- NPI
- 1124572060
- Entity type
- Organization (NPI-2)
- Legal business name
- Nicklaus Children'S Pediatric Specialists, LLC
- Organization subpart
- No
- Enumeration date
- Aug 9, 2016
- Certification date
- Dec 13, 2024
- Last updated
- Dec 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Other names
- Nicklaus Children'S Pediatric Specialists - Nutritional Services (Doing Business As)
Practice location
3100 Sw 62nd AveClinical Nutrition Department
Miami, FL 33155
Phone 786-624-5876 · Fax 786-624-2688
Mailing address
Po Box 947095Atlanta, GA 30394-7095
Phone 786-624-5876 · Fax 786-624-2688
Authorized official
Marcos Mestre
Svp
3056666511
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