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Organization

PEDIATRIX MEDICAL GROUP OF LOUISIANA, L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL ASHFORD (AUTHORIZED SIGNATORY)
(800) 243-3839
Entity
Organization

Contact information

Practice address
3001 E PRESIDENT GEORGE BUSH HWY, SUITE 250, RICHARDSON, TX 75082-3542
(972) 437-5099
(972) 764-1661
Mailing address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(954) 384-0175
(954) 851-1948

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1942430
LA
Enumeration date
09/17/2006
Last updated
11/12/2024
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