OrganizationNicklaus Children'S Pediatric Specialists, Llc(<Unavail>)PediatricsAllopathic & Osteopathic PhysiciansPractice Address8430 W Broward Blvd Ste 300, Plantation, FL 33324-2700(954) 385-6277PECOS EnrollmentBased on the most recent information from CMS, provider Nicklaus Children'S Pediatric Specialists, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 15 days ago.Profile DetailsProvider ID1144891045Provider TypeOrganizationFull NameNicklaus Children'S Pediatric Specialists, LlcOther Name<Unavail>SubpartNoEnumeration Date7/2/2021Last Updated11/12/2024Contact InformationPractice LocationPractice Address8430 W Broward Blvd Ste 300, Plantation, FL 33324-2700Phone(954) 385-6277Fax(954) 217-6317Mailing LocationMailing Address3100 SW 62nd Ave, Miami, FL 33155-3009Phone(954) 385-6277Fax(954) 217-6317Authorized OfficialNameMestre, Marcos (Svp)Phone(305) 666-6511Provider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode2080P0202XDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode2080P0205XDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode2080P0206XDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode208200000XDescriptionPlastic SurgeryAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer