NICKLAUS CHILDREN'S COCONUT CREEK CARE CENTER – NPI #1003306093
Orthopaedic Surgery

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.

NICKLAUS CHILDREN'S COCONUT CREEK CARE CENTER is an orthopaedic surgeon located in COCONUT CREEK, FL. NPPES has assigned the NPI number 1003306093 to NICKLAUS CHILDREN'S COCONUT CREEK CARE CENTER on May 15, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NICKLAUS CHILDREN'S COCONUT CREEK CARE CENTER” is a dba name, the actual legal business name for this organization is PEDIATRIC SPECIALTY GROUP, INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207XP3100X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 8 years ago on Sep 26, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NICKLAUS CHILDREN'S COCONUT CREEK CARE CENTER below.

NPI Profile for
PEDIATRIC SPECIALTY GROUP, INC

NPI Number
1003306093
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PEDIATRIC SPECIALTY GROUP, INC
Doing Business As (dba): NICKLAUS CHILDREN'S COCONUT CREEK CARE CENTER
Primary location
6370 N STATE ROAD 7 STE 100
COCONUT CREEK, FL 33073
Phone: (954) 321-7762 Fax: (954) 321-9596
Mailing address
3100 SW 62ND AVE
MIAMI, FL 33155-3009
Phone: (786) 624-5876 Fax: (786) 624-2688
Organization Subpart
No
Authorized Official
RAIZA VIDAURRAZAGA
SR. PROVIDER RELATIONS SPECIALIST
Phone: (786) 624-2186
Updated
Identifiers

Identifiers for NICKLAUS CHILDREN'S COCONUT CREEK CARE CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFL010060900
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.