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Organization
PEDIATRIX MEDICAL GROUP OF ALABAMA, INC.
Active
Organization
PEDIATRIX MEDICAL GROUP OF ALABAMA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS E. GLASER (DIRECTOR/PRESIDENT)
(800) 243-3839
Entity
Organization
Contact information
Practice address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(800) 243-3839
Mailing address
PO BOX 277279, ATLANTA, GA 30384-7279
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
NULL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
2080P0203X
Pediatric Critical Care Medicine Physician
—
NULL
2080P0203X
Pediatric Critical Care Medicine Physician
—
—
Other
Enumeration date
02/19/2025
Last updated
02/26/2025
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