Organization
PEDIATRIX MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS E. GLASER (ASSISTANT SECRETARY)
(954) 384-0175
Entity
Organization
Contact information
Practice address
4320 SEMINARY RD, ALEXANDRIA, VA 22304-1535
(703) 504-3000
Mailing address
1301 CONCORD TER, SUNRISE, FL 33323-2843
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
231H00000X
Audiologist
—
—
Other
Enumeration date
03/25/2024
Last updated
06/23/2025
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