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
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