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NICKLAUS CHILDREN'S COCONUT CREEK CARE CENTER
NPI 1003306093
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Coconut Creek, FL

Active since May 15, 2018
6370 N STATE ROAD 7 STE 100, COCONUT CREEK, FL 33073(954) 321-7762(954) 321-9596 Get Directions Write a Review

NPPES record last updated: September 26, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 26, 2018, Sep 20, 2018, May 17, 2018 (3 updates tracked since 2018).

About Nicklaus Children's Coconut Creek Care Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICKLAUS CHILDREN'S COCONUT CREEK CARE CENTER (NPI 1003306093) is a healthcare organization registered as a pediatric orthopaedic surgery in Coconut Creek, Florida and active in the NPI registry since May 2018. The organization lists Raiza Beatriz Vidaurrazaga, Sr. Provider Relations Specialist, as its authorized official.

NPPES Registry Identity

NPI1003306093
Entity TypeOrganization
Primary Taxonomy207XP3100X
Legal Business NamePEDIATRIC SPECIALTY GROUP, INC
Location Address6370 N STATE ROAD 7 STE 100Coconut Creek, FL 33073
Mailing Address3100 Sw 62nd AveMiami, FL 33155-3009 · (786) 624-5876 · Fax (786) 624-2688
Phone(954) 321-7762
Fax(954) 321-9596
Organization SubpartNo
Authorized OfficialRaiza Beatriz VidaurrazagaSr. Provider Relations Specialist · (786) 624-2186
Enumeration DateMay 15, 2018
Last NPPES UpdateSeptember 26, 20183 updates tracked since enumeration
✔ NPI 1003306093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyOrthopaedic Surgery · Pediatric Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XP3100X
Definition
An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.
Also ListedNeurological SurgeryTaxonomy 207T00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPediatrics · Pediatric Allergy/ImmunologyTaxonomy 2080P0201X
Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X
Also ListedPediatrics · Pediatric Emergency MedicineTaxonomy 2080P0204X
Also ListedPediatrics · Pediatric EndocrinologyTaxonomy 2080P0205X
Also ListedPediatrics · Pediatric GastroenterologyTaxonomy 2080P0206X
Also ListedPediatrics · Pediatric NephrologyTaxonomy 2080P0210X
Also ListedPediatrics · Pediatric RheumatologyTaxonomy 2080P0216X
Also ListedPlastic SurgeryTaxonomy 208200000X
Also ListedRadiology · Pediatric RadiologyTaxonomy 2085P0229X
Also ListedClinic/Center · RehabilitationTaxonomy 261QR0400X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
Also ListedGeneral Acute Care Hospital · ChildrenTaxonomy 282NC2000X
6370 N STATE ROAD 7 STE 100, Coconut Creek, FL 33073
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Other Names 1

Doing Business AsNicklaus Children's Coconut Creek Care Center

Other Identifiers 1

Medicaid010060900FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK M FORTNEY PA
Physician Assistant
6370 N STATE ROAD 7 STE 100
COCONUT CREEK, FL 33073
Broward County (954) 321-7762

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Specialty Group, Inc's NPI number?

The NPI number for Pediatric Specialty Group, Inc is 1003306093. It was assigned to this organization in the NPPES registry on May 15, 2018. The provider is doing business as Nicklaus Children's Coconut Creek Care Center.

Where is Pediatric Specialty Group, Inc located?

Pediatric Specialty Group, Inc is located at 6370 N State Road 7 Ste 100, Coconut Creek, FL 33073. The listed phone number is (954) 321-7762.

What is Pediatric Specialty Group, Inc's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery, with taxonomy code 207XP3100X.

What insurance does Pediatric Specialty Group, Inc accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Pediatric Specialty Group, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pediatric Specialty Group, Inc was last updated on September 26, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.