# PEDIATRIX MEDICAL GROUP OF FLORIDA, INC

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

## Provider details

- **NPI number:** 1093384299
- **Authorized official:** NICHOLAS E. GLASER (PRESIDENT)
- **Authorized official phone:** (800) 243-3839

## Contact information

- **Practice address:** 800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
- **Practice address phone:** (904) 202-2000
- **Practice address fax:** (855) 527-5510
- **Mailing address:** 1301 CONCORD TER, SUNRISE, FL 33323-2843
- **Mailing address phone:** (800) 243-3839

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | NULL | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 06/22/2021
- **Last updated:** 06/09/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 002741927 | — | FL |