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
11750 SW 40TH ST, MIAMI, FL 33175-3530
(305) 223-3000
(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
—
—
2080P0202X
Pediatric Cardiology Physician
Primary
—
—
208200000X
Plastic Surgery Physician
—
—
2086S0120X
Pediatric Surgery Physician
—
—
208800000X
Urology Physician
—
—
2088P0231X
Pediatric Urology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002741947
—
FL
Enumeration date
06/22/2021
Last updated
08/02/2024
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