Organization
PEDIATRIX MEDICAL GROUP OF FLORIDA, INC
Active
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
21644 STATE ROAD 7, BOCA RATON, FL 33428-1842
(561) 488-8000
Mailing address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(800) 243-3839
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
207VM0101X
Maternal & Fetal Medicine Physician
—
—
2080P0202X
Pediatric Cardiology Physician
Primary
—
—
2080P0205X
Pediatric Endocrinology Physician
—
—
208200000X
Plastic Surgery Physician
—
—
2086S0120X
Pediatric Surgery Physician
—
—
208800000X
Urology Physician
—
—
2088P0231X
Pediatric Urology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002741934
—
FL
Enumeration date
06/04/2021
Last updated
06/09/2025
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