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
1800 SE TIFFANY AVE, PORT SAINT LUCIE, FL 34952-7521
(772) 335-4000
(855) 527-5510
Mailing address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(800) 243-3839
(855) 527-5510
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
2080P0202X
Pediatric Cardiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060035154
—
FL
Enumeration date
06/16/2021
Last updated
06/12/2025
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