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Organization

PEDIATRIX MEDICAL GROUP, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NANETTE SANDERS (ASSISTANT SECRETARY)
(954) 384-0175
Entity
Organization

Contact information

Practice address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(954) 384-0175
(954) 851-1948
Mailing address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(954) 384-0175
(954) 851-1948

Taxonomy

Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
208000000X
Pediatrics Physician
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
2080P0202X
Pediatric Cardiology Physician
2080P0203X
Pediatric Critical Care Medicine Physician
2080P0206X
Pediatric Gastroenterology Physician
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
2086S0120X
Pediatric Surgery Physician
225X00000X
Occupational Therapist
363LN0000X
Neonatal Nurse Practitioner

Other

Enumeration date
10/31/2006
Last updated
02/27/2025
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