PEDIATRIC SPECIALTY GROUP, INC.


Address: 3100 Sw 62nd Ave Ste 102, Miami, FL 33155
Phone: 7866245876

PEDIATRIC SPECIALTY GROUP, INC. (NPI# 1891249371) 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) 1891249371
Entity Type Organization
Organization Name PEDIATRIC SPECIALTY GROUP, INC.
Other Organization Name PEDIATRIC SPECIALISTS OF AMERICA - ENDOCRINOLOGY
Practice Address 3100 Sw 62nd Ave Ste 102
Miami
FL 33155
Mailing Address Po Box 865095
Orlando
FL 32886-5095
Practice Telephone 7866245876
Practice Fax Number 7866242688
Mailing Telephone 7866245876
Mailing Fax Number 7866242688
Enumeration Date 2016-08-12
Last Update Date 2018-06-15
Authorized Official Name ELIZABETH MENOCAL (AUTHORIZED OFFICIAL)
Authorized Official Telephone 3056628357
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0205X Pediatrics
Specialization: Pediatric Endocrinology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 013515205 05

Other Provider/Organization Names

Other Name Type Code
Pediatric Specialists of America - Endocrinology 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
1457965345 Pediatric Specialty Group, Inc. Pediatrics 3100 Sw 62nd Ave, Miami, FL 33155-3009 2020-09-08
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
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 STE 102
City MIAMI
State FL
Zip Code 33155

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518994524 Adriana A Carrillo Iregui Pediatrics 3100 Sw 62nd Ave Ste 102, Miami, FL 33155-3009 2006-06-26
1508223439 Monica Grimaldi Dietitian, Registered 3100 Sw 62nd Ave Ste 102, Miami, FL 33155-3009 2016-01-22

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
Find all providers in zip 33155

Taxonomy Information

Taxonomy Code 2080P0205X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Endocrinology

Taxonomy Definition

A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447324744 Luis E Gonzalez-mendoza Pediatrics 3100 Sw 62nd Ave Ste 122, Miami, FL 33155-3009 2006-11-20
1518994524 Adriana A Carrillo Iregui Pediatrics 3100 Sw 62nd Ave Ste 102, Miami, FL 33155-3009 2006-06-26
1760739957 Pedro A Pagan Banchs Pediatrics 3100 Sw 62nd Ave, Miami, FL 33155-3009 2012-08-07
1700154267 Monica M Dussan Pediatrics 3100 Sw 62nd Ave, Miami, FL 33155-3009 2011-12-12
1013159268 Variety Children's Hospital Pediatrics 13400 Sw 120th St, Suite 100, Miami, FL 33186-7440 2009-04-02
1275775702 Variety Children's Hospital Pediatrics 9260 Sw 72nd St, Suite 217, Miami, FL 33173-3275 2009-03-30
1245472190 Joshua William Tarkoff Pediatrics 3100 Sw 62nd Ave, Miami, FL 33155-3009 2009-03-24
1003081100 Supamit Ukarapong Pediatrics 1475 Nw 12th Ave, Miami, FL 33136-1002 2008-04-29
1972635183 Variety Children's Hospital Pediatrics 3100 Sw 62nd Ave, Suite 3 Ne, Miami, FL 33155-3009 2007-03-12
1083757249 Jose E. Perez-rodriguez Pediatrics 7000 Sw 97th Ave, Suite 104, Miami, FL 33173-1494 2007-02-15
Find all providers in MIAMI

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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