Organization
PEDIATRIX MEDICAL GROUP NEONATOLOGY AND PEDIATRIC INTENSIVE CARE SPECI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARIN JOHNSON (PRESIDENT)
(800) 243-3839
Entity
Organization
Contact information
Practice address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(954) 384-0175
(954) 851-1948
Mailing address
4991 LAKE BROOK DR, SUITE 300, GLEN ALLEN, VA 23060-9293
(804) 346-3535
(804) 253-0408
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3069683
—
NY
Enumeration date
09/17/2006
Last updated
11/05/2024
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