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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
11371 CORTEZ BLVD, STE 101, BROOKSVILLE, FL 34613-5408
(800) 243-3839
Mailing address
1301 CONCORD TER,, SUNRISE, FL 33323-2843
(800) 243-3839

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2080N0001X
Neonatal-Perinatal Medicine Physician
2080P0202X
Pediatric Cardiology Physician

Other

Enumeration date
10/08/2024
Last updated
10/08/2024
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