NICKLAUS CHILDREN'S AT WEST PINES
NPI 1215761366
Pediatrics in Pembroke Pines, FL

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

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

Active since August 30, 2024CLIA 10D2314183 · Waiver

18503 PINES BLVD STE 212, PEMBROKE PINES, FL 33029(954) 392-0266 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nicklaus Children's At West Pines NPPES

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

NICKLAUS CHILDREN'S AT WEST PINES (NPI 1215761366) is a healthcare organization registered as a pediatrics in Pembroke Pines, Florida and active in the NPI registry since August 2024. The organization holds a CLIA Waiver certificate valid through November 13, 2026 and lists Marcos Mestre, Svp, as its authorized official.

NPPES Registry Identity

NPI1215761366

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameNICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC

Location Address18503 PINES BLVD STE 212Pembroke Pines, FL 33029-1405

Mailing AddressPo Box 947095Atlanta, GA 30394-7095

Phone(954) 392-0266

Organization SubpartNo

Authorized OfficialMarcos MestreSvp · (305) 666-6511

Enumeration DateAugust 30, 2024

Last NPPES UpdateNovember 12, 2024

NPPES CertifiedNovember 12, 2024

✔ NPI 1215761366 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.

18503 PINES BLVD STE 212, Pembroke Pines, FL 33029

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Other Names 1

Doing Business AsNicklaus Children's At West 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 10D2314183

Nicklaus Children's Pediatric Specialists At West Pines · Pembroke Pines, FL

Active · expires Nov 13, 2026

CLIA Number10D2314183

Laboratory TypePhysician Office

Certificate Effective DateNovember 14, 2024

Certificate Expiration DateNovember 13, 2026

Laboratory DirectorJorelis Frias

Laboratory Phone(954) 392-0266

Laboratory LocationNicklaus Children's Pediatric Specialists At West Pines18503 Pines Blvd, Suite 212, Pembroke Pines, FL 33029

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.

M & M PEDIATRICS P.A.

Pediatrics

18503 PINES BLVD STE 212
PEMBROKE PINES, FL 33029

Broward County (954) 392-0266

MARTHA L MAYORGA-VASQUEZ MD

Pediatrics

18503 PINES BLVD STE 212
PEMBROKE PINES, FL 33029

Broward County (954) 392-0266

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 1215761366. It was assigned to this organization in the NPPES registry on August 30, 2024. The provider is doing business as Nicklaus Children's At West Pines.

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

Nicklaus Children's Pediatric Specialists, LLC is located at 18503 Pines Blvd Ste 212, Pembroke Pines, FL 33029. The listed phone number is (954) 392-0266.

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 10D2314183) is associated with this NPI, valid through November 13, 2026. 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 12, 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.