Nicklaus Children'S Pediatric Specialists - Nutritional Services

LBN: Pediatric Specialty Group, Inc.
Nicklaus Children'S Pediatric Specialists - Nutritional Services is an health care organization with primary practice located at 3100 Sw 62Nd Ave Clinical Nutrition Department, Miami FL 33155. The organization recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as the primary health care specialty. Pediatric Specialty Group, Inc. can be contacted via phone (786) 624-5876, or through Gaber, Laura M via phone (786) 624-5747.

Contact Information

Primary practice address
3100 Sw 62Nd Ave Clinical Nutrition Department Miami FL 33155
Phone: (786) 624-5876
Fax: (786) 624-2688
Website:
Map and Directions
Authorized official contact:
Name: Gaber, Laura M
Phone: (786) 624-5747

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X

Profile Details

NPI number 1124572060
LBN Legal business name Pediatric Specialty Group, Inc.
DBA Doing business as Nicklaus Children'S Pediatric Specialists - Nutritional Services
Authorized official Gaber, Laura M
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2016
Last updated Mar 3rd, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124572060 NPPES
Florida MEDICAID 020400900

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