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
1150 N 35TH AVE STE 490, HOLLYWOOD, FL 33021-5423
(954) 276-5500
(855) 527-5510
Mailing address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(800) 243-3839
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
—
—
208200000X
Plastic Surgery Physician
Primary
—
—
2086S0120X
Pediatric Surgery Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108642800
—
FL
Enumeration date
07/22/2021
Last updated
07/09/2025
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