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
23450 VIA COCONUT PT, ESTERO, FL 34135-1877
(239) 468-0080
(855) 527-5510
Mailing address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(800) 243-3839
(855) 527-5520
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
208800000X
Urology Physician
—
—
2088P0231X
Pediatric Urology Physician
—
—
Other
Enumeration date
01/12/2023
Last updated
08/02/2024
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