NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
NPI 1891479044
Pediatrics in Miami, FL

Active since June 09, 2023CLIA Certified · 2 labs
217 NW 15TH ST, MIAMI, FL 33136(305) 669-6505(305) 668-5591 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicklaus Children's Pediatric Specialists, Llc NPPES

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

NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC (NPI 1891479044), doing business as Nicklaus Children's At Overtown, is a healthcare organization registered as a pediatrics in Miami, Florida and active in the NPI registry since June 2023. The organization holds 2 active CLIA laboratory certificates and lists Robbin Anderson, Payer Credentialing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1891479044
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameNICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
Location Address217 NW 15TH STMiami, FL 33136-1832
Mailing AddressPo Box 947095Atlanta, GA 30394-7095
Fax(305) 668-5591
Organization SubpartNo
Authorized OfficialRobbin AndersonPayer Credentialing Supervisor · (786) 624-5747
Enumeration DateJune 9, 2023
Last NPPES UpdateOctober 29, 2025
NPPES CertifiedOctober 29, 2025
NPI 1891479044 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.
217 NW 15TH ST, Miami, FL 33136

Other Names 1

Doing Business AsNicklaus Children's At Overtown

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

CLIA Laboratory Certificates CMS CLIA 2

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 10D2318712

Nicklaus Children's Pediatric Specialists, LLC · Miami, FL
Active · expires Feb 16, 2027
CLIA Number10D2318712
Laboratory TypePhysician Office
Certificate Effective DateFebruary 17, 2025
Certificate Expiration DateFebruary 16, 2027
Laboratory DirectorMaria Milla
Laboratory Phone(305) 669-6505
Laboratory LocationNicklaus Children's Pediatric Specialists, LLC3100 SW 62nd Avenue, Miami, FL 33155
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2271024

Nicklaus Children's Pediatric Specialists, LLC · Miami, FL
Active · expires Oct 25, 2026
CLIA Number10D2271024
Laboratory TypePhysician Office
Certificate Effective DateOctober 26, 2024
Certificate Expiration DateOctober 25, 2026
Laboratory DirectorJoanna Perdomo
Laboratory Phone(305) 669-6505
Laboratory LocationNicklaus Children's Pediatric Specialists, LLC7800 SW 87th Avenue, C-350, Miami, FL 33173
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Case Management
217 NW 15TH ST
MIAMI, FL 33136

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 1891479044. It was assigned to this organization in the NPPES registry on June 9, 2023. The provider is doing business as Nicklaus Children's at Overtown.

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

Nicklaus Children's Pediatric Specialists, LLC is located at 217 NW 15th St, Miami, FL 33136. The listed phone number is (305) 669-6505.

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 CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Nicklaus Children's Pediatric Specialists, LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Nicklaus Children's Pediatric Specialists, LLC 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 Nicklaus Children's Pediatric Specialists, LLC was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.