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Organization
PEDIATRIX MEDICAL GROUP AMBULATORY SERVICES OF TN, PLLC
Active
Organization
PEDIATRIX MEDICAL GROUP AMBULATORY SERVICES OF TN, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ASHFORD (ASSISTANT SECRETARY)
(800) 243-3839
Entity
Organization
Contact information
Practice address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(800) 243-3839
Mailing address
PO BOX 100445, ATLANTA, GA 30384-0445
(800) 243-3839
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
2080P0202X
Pediatric Cardiology Physician
—
—
2080P0203X
Pediatric Critical Care Medicine Physician
—
—
2080P0206X
Pediatric Gastroenterology Physician
—
—
2080P0208X
Pediatric Infectious Diseases Physician
—
—
2080P0214X
Pediatric Pulmonology Physician
—
—
2086S0120X
Pediatric Surgery Physician
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Enumeration date
02/21/2023
Last updated
08/05/2025
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