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
3003 W DR MARTIN LUTHER KING JR BLVD FL 3, TAMPA, FL 33607-6307
(727) 322-4830
(855) 527-5510
Mailing address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(800) 243-3839
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002741956
—
FL
Enumeration date
06/22/2021
Last updated
10/22/2024
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