OrganizationActive
Pediatric Specialty Group, Inc
NPI 1003306093 · Pediatric Orthopaedic Surgery Physician · Coconut Creek, FL
Provider details
- NPI number
- 1003306093
- Entity type
- Organization
- Primary specialty
- Pediatric Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Raiza Vidaurrazaga, Sr. Provider Relations Specialist(786) 624-2186
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Neurological Surgery Physician207T00000X
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
- Pediatric Allergy/Immunology Physician2080P0201X
Allopathic & Osteopathic Physicians
- Pediatric Cardiology Physician2080P0202X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
6370 N State Road 7 Ste 100
Coconut Creek, FL 33073
Phone: (954) 321-7762
Fax: (954) 321-9596
Approximate (ZIP-level) locationGet directions
Mailing address
3100 Sw 62nd Ave
Miami, FL 33155-3009
Other names (DBA / former)
- Doing business as
- Nicklaus Children'S Coconut Creek Care Center
Registry dates
- Enumerated
- 2018-05-15
- Last updated
- 2018-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.