Organization
PEDIATRIX MEDICAL GROUP OF FLORIDA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS E. GLASER (PRESIDENT)
(877) 885-0588
Entity
Organization
Contact information
Practice address
5352 LINTON BLVD, DELRAY BEACH, FL 33484-6514
(561) 498-4440
(855) 527-5510
Mailing address
1300 CONCORD TER, SUNRISE, FL 33323-2899
(800) 243-3839
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
—
—
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
—
—
208800000X
Urology Physician
—
—
2088P0231X
Pediatric Urology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060035171
—
FL
Enumeration date
07/14/2021
Last updated
08/02/2024
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