| NPI | 1487108320 |
|---|---|
| Doing Business As | NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS - ADOLESCENT MEDICINE |
| Entity Type | Organization |
| Authorized Contact | ROBBIN ANDERSON Payer Credentialing Supervisor 786-624-5747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2023-06-16 |