Organization
PEDIATRIX MEDICAL GROUP OF FLORIDA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS E GLASER (PRESIDENT)
(800) 243-3839
Entity
Organization
Contact information
Practice address
1245 W FAIRBANKS AVE STE 305, WINTER PARK, FL 32789-4878
(407) 293-1122
(407) 253-2170
Mailing address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(800) 243-3839
(855) 527-5510
Taxonomy
Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
—
—
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
12/01/2021
Last updated
10/22/2024
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