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
10301 HAGEN RANCH RD STE D930, BOYNTON BEACH, FL 33437-3732
(561) 736-7313
(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
2080P0202X
Pediatric Cardiology Physician
—
—
208200000X
Plastic Surgery Physician
—
—
208800000X
Urology Physician
—
—
2088P0231X
Pediatric Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14449127
—
FL
Enumeration date
06/03/2021
Last updated
08/02/2024
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