# PEDIATRIX MEDICAL GROUP OF FLORIDA, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1215756127
- **Authorized official:** NICHOLAS E. GLASER (PRESIDENT)
- **Authorized official phone:** (800) 243-3839

## Contact information

- **Practice address:** 11371 CORTEZ BLVD, STE 101, BROOKSVILLE, FL 34613-5408
- **Practice address phone:** (800) 243-3839
- **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 |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | NULL | — |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | — | — |
| 2080P0202X | Pediatric Cardiology Physician | — | NULL | — |
| 2080P0202X | Pediatric Cardiology Physician | — | — | — |

## Other

- **Enumeration date:** 10/08/2024
- **Last updated:** 10/08/2024