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Organization
PEDIATRIX MEDICAL GROUP NEONATOLOGY AND PEDIATRIC INTENSIVE CARE SPECI
Active
Organization
PEDIATRIX MEDICAL GROUP NEONATOLOGY AND PEDIATRIC INTENSIVE CARE SPECI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARIN JOHNSON (PRESIDENT)
(800) 243-3839
Entity
Organization
Contact information
Practice address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(954) 384-0175
(954) 851-1948
Mailing address
4991 LAKE BROOK DR, SUITE 300, GLEN ALLEN, VA 23060-9293
(804) 346-3535
(804) 253-0408
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
NULL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Enumeration date
09/17/2006
Last updated
11/05/2024
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