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
1887 KINGSLEY AVE STE 1900, ORANGE PARK, FL 32073-4451
(800) 243-3839
(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
207V00000X
Obstetrics & Gynecology Physician
—
—
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14449140
—
FL
Enumeration date
06/22/2021
Last updated
06/09/2025
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