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Organization
PEDIATRIX MEDICAL GROUP OF FLORIDA INC
Active
Organization
PEDIATRIX MEDICAL GROUP OF FLORIDA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS E. GLASER (PRESIDENT)
(800) 243-3839
Entity
Organization
Contact information
Practice address
5555 PONCE DE LEON BLVD, CORAL GABLES, FL 33146-2513
(305) 669-6448
(855) 527-5510
Mailing address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(800) 243-3839
(855) 527-5510
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
—
NULL
2086S0120X
Pediatric Surgery Physician
Primary
—
—
208800000X
Urology Physician
—
NULL
208800000X
Urology Physician
—
—
2088P0231X
Pediatric Urology Physician
—
NULL
2088P0231X
Pediatric Urology Physician
—
—
Other
Enumeration date
01/18/2023
Last updated
10/21/2024
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