Organization
PEDIATRIX MEDICAL GROUP OF FLORIDA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS E. GLASER (PRESIDENT)
(800) 243-3839
Entity
Organization
Contact information
Practice address
836 PRUDENTIAL DR STE 1800, JACKSONVILLE, FL 32207-8345
(904) 398-7684
(855) 527-5510
Mailing address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(800) 243-3839
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002741912
—
FL
Enumeration date
06/02/2021
Last updated
06/09/2025
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