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NPI Code Detail

MEDICARE: PEDIATRIX MEDICAL GROUP OF FLORIDA INC

MEDICARE: PEDIATRIX MEDICAL GROUP OF FLORIDA INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12086S0120XPediatric Surgery Physician
2208800000XUrology Physician
32088P0231XPediatric Urology Physician
42080P0206XPediatric Gastroenterology Physician
5208200000XPlastic Surgery Physician

General Provider Information

NPI Number : 1063293520
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEDIATRIX MEDICAL GROUP OF FLORIDA INC
Provider Business Mailing Address
First Line : 1301 CONCORD TER
Second Line :
City : SUNRISE
State : FL
Zip : 33323-2843
Country : US
Telephone Number : 800-243-3839
Fax Number : 855-527-5510
Provider Business Practice Location Address
First Line : 2727 W DR MARTIN LUTHER KING JR BLVD STE 150
Second Line :
City : TAMPA
State : FL
Zip : 33607-6003
Country : US
Telephone Number : 813-357-5900
Fax Number : 855-527-5510
Authorized Official
Title or Position : PRESIDENT
Name : LINDA CHEN
Credential :
Telephone Number : 800-243-3839
Provider Enumeration Date : 10/11/2023
Last Update Date : 10/17/2023

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Directions to “PEDIATRIX MEDICAL GROUP OF FLORIDA INC ” Practice Location

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