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
3700 CENTRAL AVE STE 2, FORT MYERS, FL 33901-7649
(239) 275-0665
(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
208200000X
Plastic Surgery Physician
Primary
—
—
2086S0120X
Pediatric Surgery Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
Other
Enumeration date
06/25/2021
Last updated
06/28/2021
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