# PEDIATRIX MEDICAL MANAGEMENT GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003830282
- **Authorized official:** KARL B WAGNER (PRESIDENT)
- **Authorized official phone:** (954) 384-0175

## Contact information

- **Practice address:** 1400 E BOULDER ST, COLORADO SPRINGS, CO 80909-5533
- **Practice address phone:** (719) 447-8812
- **Practice address fax:** (719) 447-8987
- **Mailing address:** 1301 CONCORD TER, SUNRISE, FL 33323-2843
- **Mailing address phone:** (954) 384-0175
- **Mailing address fax:** (954) 851-1948

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | NULL | Yes |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | — | Yes |
| 2080P0203X | Pediatric Critical Care Medicine Physician | — | NULL | — |
| 2080P0203X | Pediatric Critical Care Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 07/27/2006
- **Last updated:** 10/08/2008