# PEDIATRIX MEDICAL GROUP PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1538919386
- **Authorized official:** NICHOLAS E. GLASER (ASSISTANT SECRETARY)
- **Authorized official phone:** (954) 384-0175

## Contact information

- **Practice address:** 4320 SEMINARY RD, ALEXANDRIA, VA 22304-1535
- **Practice address phone:** (703) 504-3000
- **Mailing address:** 1301 CONCORD TER, SUNRISE, FL 33323-2843

## 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 |
| 231H00000X | Audiologist | — | NULL | — |
| 231H00000X | Audiologist | — | — | — |

## Other

- **Enumeration date:** 03/25/2024
- **Last updated:** 06/23/2025