Organization
PEDIATRIX MEDICAL GROUP OF CALIFORNIA, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL R SANTANA (ASSISTANT SECRETARY)
(800) 243-3839
Entity
Organization
Contact information
Practice address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(800) 463-6628
(714) 740-0326
Mailing address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(800) 463-6628
(714) 740-0326
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
2080P0203X
Pediatric Critical Care Medicine Physician
—
—
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
09/13/2006
Last updated
11/05/2024
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