PEDIATRIC SPECIALTY GROUP, INC.


Address: 3100 Sw 62nd Ave, Miami, FL 33155-3009
Phone: 3056628301

PEDIATRIC SPECIALTY GROUP, INC. (NPI# 1457965345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457965345
Entity Type Organization
Organization Name PEDIATRIC SPECIALTY GROUP, INC.
Practice Address 3100 Sw 62nd Ave
Miami
FL 33155-3009
Practice Telephone 3056628301
Practice Fax Number 3056628304
Mailing Telephone 3056628301
Mailing Fax Number 3056628304
Enumeration Date 2020-09-08
Last Update Date 2020-09-08
Authorized Official Name LAURA M GABER (PROVIDER RELATIONS SPECIALIST)
Authorized Official Telephone 7866245747
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2080P0202X Pediatrics
Specialization: Pediatric Cardiology
Allopathic & Osteopathic Physicians
N 2080P0204X Pediatrics
Specialization: Pediatric Emergency Medicine
Allopathic & Osteopathic Physicians
Y 2080P0203X Pediatrics
Specialization: Pediatric Critical Care Medicine
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Pediatric Specialists of America - Pediatric Critical Care Medicine Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1316589914 Pediatric Specialty Group, Inc. Pediatrics 9750 Nw 33rd St Ste 109, Coral Springs, FL 33065-4000 2019-10-15
1306459177 Pediatric Specialty Group, Inc. Pediatrics 3100 Sw 62nd Ave, Miami, FL 33155-3009 2020-08-31
1235774852 Pediatric Specialty Group, Inc. Pediatrics 3100 Sw 62nd Ave, 1st Floor, Trauma Unit, Miami, FL 33155-3009 2019-11-07
1124553656 Pediatric Specialty Group, Inc. Pediatrics 3100 Sw 62nd Ave, Apcp- 6 Tower, Suite 6226, Miami, FL 33155-3009 2017-04-21
1881128171 Pediatric Specialty Group, Inc. Pediatrics 3100 Sw 62nd Ave, Palliative Care Medicine- 3rd Floor- Suite 6-74, Miami, FL 33155 2017-04-13
1194277756 Pediatric Specialty Group, Inc. Psychologist 3100 Sw 62nd Ave, Department of Psychology, Miami, FL 33155-3009 2016-10-31
1528512001 Pediatric Specialty Group, Inc. Pediatrics 3100 Sw 62nd Ave, Department of Gastroenterology, Miami, FL 33155 2016-08-12
1891249371 Pediatric Specialty Group, Inc. Pediatrics 3100 Sw 62nd Ave Ste 102, Miami, FL 33155 2016-08-12
1982158820 Pediatric Specialty Group, Inc. Ophthalmology 3100 Sw 62nd Ave, Miami, FL 33155 2016-08-09
1689128530 Pediatric Specialty Group, Inc. Pediatrics 3100 Sw 62nd Ave, Attention: Physician Rcm @ Blue Lagoon- 8th Floor, Miami, FL 33155-3009 2016-08-09

Office Location

Street Address 3100 SW 62ND AVE
City MIAMI
State FL
Zip Code 33155-3009

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104824077 Rene Luis Lopez-guerrero Pediatrics 3100 Sw 62nd Ave, Miami, FL 33155-3009 2005-07-13
1598366239 Alejandra Margarita Patterson Registered Nurse 3100 Sw 62nd Ave, Suite 108 Center for Spinal Disorders, Miami, FL 33155 2020-11-07
1093315947 Mailys Santoro Nurse Practitioner 3100 Sw 62nd Ave, Miami, FL 33155-3009 2020-10-29
1174121289 Lilia M Mendoza Family Medicine 3100 Sw 62nd Ave, Miami, FL 33155-3009 2020-10-12
1932707007 Brian Ruiz Nurse Practitioner 3100 Sw 62nd Ave, Miami, FL 33155-3009 2020-10-12
1306459177 Pediatric Specialty Group, Inc. Pediatrics 3100 Sw 62nd Ave, Miami, FL 33155-3009 2020-08-31
1568075372 Nancy Pierre Nurse Practitioner 3100 Sw 62nd Ave, Miami, FL 33155-3009 2020-08-31
1841803335 Dicle Yasar Aksoyler Student in an Organized Health Care Education/Training Program 3100 Sw 62nd Ave, Miami, FL 33155-3009 2020-08-25
1154932952 Veronica A Quintanar Sanabria Nurse Practitioner 3100 Sw 62nd Ave, Miami, FL 33155-3009 2020-08-14
1477161321 Sarah Kathryn Kenis Nurse Practitioner 3100 Sw 62nd Ave, Miami, FL 33155-3009 2020-07-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659987121 Blanca Argentina Torres Speech-Language Pathologist 6840 Bird Rd Unit 211a, Miami, FL 33155 2020-09-21
1245888585 Mila De La Caridad Broche Coego Behavior Technician 2247 Sw 68th Ct, Miami, FL 33155 2019-08-29
1265087878 Nancy Acela Denis Nurse Practitioner 6791 Sw 25 Terra, Miami, FL 33155 2019-08-09
1700366887 Aly Hashim Family Medicine 2805 Sw 75th Avenue, Miami, FL 33155 2018-08-17
1184115362 Ready 2 Transfer, Inc. Non-emergency Medical Transport (VAN) 7811 Sw 24 Street #120, Miami, FL 33155 2018-05-23
1053808030 Idalmis Pimentel Diez Behavior Technician 6334 Sw 30th St, Miami, FL 33155 2018-04-16
1225538689 L & L Social Services LLC Case Management 5950 Sw 40 St, Miami, FL 33155 2018-02-12
1659888915 Red Bird Dental Care Dentist 5771 Sw 40 St, Miami, FL 33155 2018-01-08
1043726474 Jesenia Rodriguez-vila Nurse Practitioner 6433 Sw 29th St, Miami, FL 33155 2017-12-21
1326553736 Believe Neuro-behavioral Services Behavioral Analyst 6700 Sw 38th St, Miami, FL 33155 2017-12-07
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Taxonomy Information

Taxonomy Code 2080P0203X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Critical Care Medicine

Taxonomy Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598061574 Jennifer Christine Munoz Pareja Pediatrics 1611 Nw 12th Ave Fl 6006, Miami, FL 33136-1005 2011-02-08
1245534593 Carmen E Ocampo Benavides Pediatrics 1420 Brickell Bay Dr, Apt #907, Miami, FL 33131-3606 2010-12-30
1841374295 Enzo Javier Garcia Pediatrics 11760 Sw 40th St Ste 722, Miami, FL 33175-8101 2006-10-24
1548225295 Manuel A Soler Pediatrics 3100 Sw 62 Ave., Miami, FL 33155-4069 2006-04-18
1235774852 Pediatric Specialty Group, Inc. Pediatrics 3100 Sw 62nd Ave, 1st Floor, Trauma Unit, Miami, FL 33155-3009 2019-11-07
1477934313 Bassam Najeeb H Albassam Pediatrics 3100 Sw 62nd Ave, Miami, FL 33155-3009 2015-06-16
1932596913 Mukul Sehgal Pediatrics 3100 Sw 62nd Ave, Nicklaus Children's Hospital, Miami, FL 33155-3009 2015-04-17
1265827596 Deidre Chang Anastas Pediatrics 3100 Sw 62nd Ave, Department of Critical Care (fellow), Miami, FL 33155 2015-04-02
1508261611 Kalpana Singh Pediatrics 3100 Sw 62nd Ave, Miami, FL 33155-3009 2014-10-31
1700206497 Raymond Rios-nieves Pediatrics 1611 Nw 12th Ave, Miami, FL 33136-1005 2014-04-21
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Competitor

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City MIAMI
Zip Code 33155

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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