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Organization

PEDIATRIX MEDICAL GROUP OF INDIANA, PC

Active
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Organization

PEDIATRIX MEDICAL GROUP OF INDIANA, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN M PITZER (ASSISTANT SECRETARY)
(800) 243-3839
Entity
Organization

Contact information

Practice address
615 N MICHIGAN ST, SOUTH BEND, IN 46601-1033
(574) 234-2287
(574) 234-5803
Mailing address
1301 CONCORD TER STE 300, SUNRISE, FL 33323-2843
(800) 243-3839
(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
08/05/2025
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