Organization
PEDIATRIX MEDICAL GROUP OF COLORADO, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA CHEN (ASSISTANT SECRETARY)
(800) 243-3839
Entity
Organization
Contact information
Practice address
1400 E BOULDER ST, COLORADO SPRINGS, CO 80909-5533
(719) 447-8812
(719) 447-8987
Mailing address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(800) 243-3839
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
2080P0203X
Pediatric Critical Care Medicine Physician
—
—
363LN0000X
Neonatal Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33353255
—
CO
Enumeration date
05/06/2009
Last updated
11/05/2024
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