Organization
PEDIATRIX MEDICAL GROUP 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
3377 S STATE ROAD 7 STE 100, WELLINGTON, FL 33449-8002
(561) 483-0332
(855) 527-5510
Mailing address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(800) 243-3839
(855) 527-5510
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2086S0120X
Pediatric Surgery Physician
—
—
2088P0231X
Pediatric Urology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108438500
—
FL
Enumeration date
07/23/2021
Last updated
10/22/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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