Organization
PEDIATRIX MEDICAL GROUP OF FLORIDA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN OLIVER (PRESIDENT)
(877) 885-0588
Entity
Organization
Contact information
Practice address
13100 FORT KING RD, DADE CITY, FL 33525-5294
(352) 521-1100
(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
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14449159
—
FL
Enumeration date
06/07/2021
Last updated
06/25/2021
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