Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pediatric Specialty Group, Inc

Organization Neurological Surgery Physician · NPI 1003306093

Pediatric Specialty Group, Inc is a Neurological Surgery Physician in Coconut Creek, Florida. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
15
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

6370 N State Road 7 Ste 100
Coconut Creek, FL 33073
Phone: (954) 321-7762
Fax: (954) 321-9596
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Orthopaedic Surgery Physician (primary) Taxonomy 207XP3100X
Neurological Surgery Physician Taxonomy 207T00000X
Pediatrics Physician Taxonomy 208000000X
Pediatric Allergy/Immunology Physician Taxonomy 2080P0201X
Pediatric Cardiology Physician Taxonomy 2080P0202X
Pediatric Emergency Medicine (Pediatrics) Physician Taxonomy 2080P0204X
Pediatric Endocrinology Physician Taxonomy 2080P0205X
Pediatric Gastroenterology Physician Taxonomy 2080P0206X
Pediatric Nephrology Physician Taxonomy 2080P0210X
Pediatric Rheumatology Physician Taxonomy 2080P0216X
Plastic Surgery Physician Taxonomy 208200000X
Pediatric Radiology Physician Taxonomy 2085P0229X
Rehabilitation Clinic/Center Taxonomy 261QR0400X
Urgent Care Clinic/Center Taxonomy 261QU0200X
Children's Hospital Taxonomy 282NC2000X

Record details

NPI number1003306093
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raiza Vidaurrazaga — Sr. Provider Relations Specialist · (786) 624-2186
Other names Nicklaus Children'S Coconut Creek Care Center
NPI enumeratedMay 15, 2018
Last updated in NPPESSeptember 26, 2018
Mailing address3100 Sw 62nd Ave, Miami, FL 33155-3009

Other providers in Coconut Creek