# PEDIATRIX MEDICAL GROUP OF ALABAMA, INC.

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

## Provider details

- **NPI number:** 1316743610
- **Authorized official:** NICHOLAS E. GLASER (DIRECTOR/PRESIDENT)
- **Authorized official phone:** (800) 243-3839

## Contact information

- **Practice address:** 1301 CONCORD TER, SUNRISE, FL 33323-2843
- **Practice address phone:** (800) 243-3839
- **Mailing address:** PO BOX 277279, ATLANTA, GA 30384-7279

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 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:** 02/19/2025
- **Last updated:** 02/26/2025