| NPI | 1124572060 |
|---|---|
| Doing Business As | NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS - NUTRITIONAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | LAURA M GABER Provider Relations Specialist 786-624-5747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2021-03-03 |