Organization
PEDIATRIX MEDICAL GROUP OF FLORIDA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN OLIVER (PRESIDENT)
(877) 885-0588
Entity
Organization
Contact information
Practice address
401 NW 42ND AVE, PLANTATION, FL 33317-2835
(954) 587-5010
(855) 527-5510
Mailing address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(800) 243-3839
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
—
—
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
—
—
2080P0202X
Pediatric Cardiology Physician
—
—
2080P0203X
Pediatric Critical Care Medicine 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
—
002741932
—
FL
Enumeration date
06/04/2021
Last updated
06/07/2021
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