# PEDIATRIX MEDICAL GROUP OF FLORIDA INC

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

## Provider details

- **NPI number:** 1427721075
- **Authorized official:** NICHOLAS E. GLASER (PRESIDENT)
- **Authorized official phone:** (800) 243-3839

## Contact information

- **Practice address:** 10000 SW INNOVATION WAY, PORT ST LUCIE, FL 34987-2111
- **Practice address phone:** (772) 345-8100
- **Practice address fax:** (855) 527-5510
- **Mailing address:** 1301 CONCORD TER, SUNRISE, FL 33323-2843
- **Mailing address phone:** (800) 243-3839
- **Mailing address fax:** (855) 527-5510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0206X | Pediatric Gastroenterology Physician | — | NULL | — |
| 2080P0206X | Pediatric Gastroenterology Physician | — | — | — |
| 2086S0120X | Pediatric Surgery Physician | — | NULL | Yes |
| 2086S0120X | Pediatric Surgery Physician | — | — | Yes |
| 2088P0231X | Pediatric Urology Physician | — | NULL | — |
| 2088P0231X | Pediatric Urology Physician | — | — | — |

## Other

- **Enumeration date:** 07/29/2021
- **Last updated:** 10/22/2024