# PEDIATRIX MEDICAL GROUP FLORIDA INC

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

## Provider details

- **NPI number:** 1679142491
- **Authorized official:** NICHOLAS E. GLASER (PRESIDENT)
- **Authorized official phone:** (800) 243-3839

## Contact information

- **Practice address:** 1250 S 18TH ST, FERNANDINA BEACH, FL 32034-1902
- **Practice address phone:** (904) 321-3500
- **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 |
| --- | --- | --- | --- | --- |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | NULL | Yes |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/24/2021
- **Last updated:** 08/02/2024