Pediatric Specialty Group, Inc.
Pediatric Adolescent Medicine
Pediatric Specialty Group, Inc. is a Miami, Florida based Pediatric center with medical specialization in
Pediatric Adolescent Medicine. Pediatric Specialty Group, Inc. is doing business as
Nicklaus Children's Pediatric Specialists - Adolescent Medicine.
It is located at
3100 Sw 62nd Ave, Suite 109, Miami, Florida - 33155. They can be contacted on phone at
786-624-5876 and fax number 786-624-2688.
NPI number (Unique professional ID) for Pediatric Specialty Group, Inc. is
1487108320 which was assigned by NPPES on 09 Aug, 2016 and it was last updated on 03 Mar, 2021.
Pediatric Specialty Group, Inc. specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Pediatric Specialty Group, Inc. basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Pediatric Specialty Group, Inc. |
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| Other Name : | Nicklaus Children's Pediatric Specialists - Adolescent Medicine |
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Business Address:
Pediatric Specialty Group, Inc. address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3100 Sw 62nd Ave, Suite 109
Miami, FL, 33155
United States |
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| Phone Number : | 786-624-5876 |
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| Fax Number : | 786-624-2688 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1487108320 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 09 Aug, 2016 |
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| Last Updated On : | 03 Mar, 2021 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Lauram Gaber |
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| Official Title or Position : | PROVIDER RELATIONS SPECIALIST |
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| Phone Number : | 786-624-5747 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pediatric Specialty Group, Inc. are as mentioned. Primary taxonomy code for Pediatric Specialty Group, Inc. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Pediatric Specialty Group, Inc. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 013515203 | MEDICAID | FL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 865095
Orlando, FL, 32886-5095
United States |
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| Phone Number : | 786-624-5876 |
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| Fax Number : | 786-624-2688 |
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Business Location:
Patients can refer following map for directions to
Pediatric Specialty Group, Inc. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.