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NICKLAUS CHILDREN'S AT PEMBROKE PINES
NPI 1073219309
Pediatrics in Pembroke Pines, FL

Active since February 07, 2023CLIA 10D0723277 · Waiver
208 N UNIVERSITY DR, PEMBROKE PINES, FL 33024(954) 432-3888 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 6, 2024, Feb 15, 2023, Feb 7, 2023 (3 updates tracked since 2023).

About Nicklaus Children's At Pembroke Pines NPPES

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

NICKLAUS CHILDREN'S AT PEMBROKE PINES (NPI 1073219309) is a healthcare organization registered as a pediatrics in Pembroke Pines, Florida and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through November 3, 2027 and lists Marcos Mestre, Svp, as its authorized official.

NPPES Registry Identity

NPI1073219309
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameNICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
Location Address208 N UNIVERSITY DRPembroke Pines, FL 33024-6716
Mailing AddressPo Box 947095Atlanta, GA 30394-7095
Phone(954) 432-3888
Organization SubpartNo
Authorized OfficialMarcos MestreSvp · (305) 666-6511
Enumeration DateFebruary 7, 2023
Last NPPES UpdateNovember 6, 20243 updates tracked since enumeration
NPPES CertifiedNovember 6, 2024
✔ NPI 1073219309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
208 N UNIVERSITY DR, Pembroke Pines, FL 33024
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Other Names 1

Doing Business AsNicklaus Children's At Pembroke Pines

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0723277

Nicklaus Children's Pediatric Specialists, LLC · Pembroke Pines, FL
Active · expires Nov 3, 2027
CLIA Number10D0723277
Laboratory TypePhysician Office
Certificate Effective DateNovember 4, 2025
Certificate Expiration DateNovember 3, 2027
Laboratory DirectorPhillip Burns
Laboratory Phone(954) 432-3888
Laboratory LocationNicklaus Children's Pediatric Specialists, LLC208 N University Dr, Pembroke Pines, FL 33024
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

PHILLIP E BURNS MD
Pediatrics
208 N UNIVERSITY DR
PEMBROKE PINES, FL 33024
Broward County (954) 432-3888
ATLANTIC PEDIATRIC PARTNERS LLC
Pediatrics
208 N UNIVERSITY DR
PEMBROKE PINES, FL 33024
Broward County (954) 432-3888

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 Nicklaus Children's Pediatric Specialists, LLC's NPI number?

The NPI number for Nicklaus Children's Pediatric Specialists, LLC is 1073219309. It was assigned to this organization in the NPPES registry on February 7, 2023. The provider is doing business as Nicklaus Children's At Pembroke Pines.

Where is Nicklaus Children's Pediatric Specialists, LLC located?

Nicklaus Children's Pediatric Specialists, LLC is located at 208 N University Dr, Pembroke Pines, FL 33024. The listed phone number is (954) 432-3888.

What is Nicklaus Children's Pediatric Specialists, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Nicklaus Children's Pediatric Specialists, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0723277) is associated with this NPI, valid through November 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Nicklaus Children's Pediatric Specialists, LLC was last updated on November 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.