Pediatric Specialty Group, Inc.
Pediatric Emergency Medicine
Pediatric Specialty Group, Inc. is a Miami, Florida based Pediatric center with medical specialization in
Pediatric Emergency Medicine. Pediatric Specialty Group, Inc. is doing business as
Nicklaus Children's Pediatric Specialists - Emergency Medicine.
It is located at
3100 Sw 62nd Ave, 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
1588063176 which was assigned by NPPES on 19 Aug, 2014 and it was last updated on 03 Mar, 2021.
Pediatric Specialty Group, Inc. has special qualifications to manage emergencies in infants and children.
Complete Profile:
Pediatric Specialty Group, Inc. basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Pediatric Specialty Group, Inc. |
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| Other Name : | Nicklaus Children's Pediatric Specialists - Emergency 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
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 : | 1588063176 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 19 Aug, 2014 |
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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
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | | |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | | |
| 261QU0200X | Clinic/Center Urgent Care | No | | |
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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| 013515200 | 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.