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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
12080P0202XPediatric Cardiology Physician

General Provider Information

NPI Number : 1639827736
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 : 1301 N CONGRESS AVE STE 200
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33426-3359
Country : US
Telephone Number : 561-742-3929
Fax Number : 855-527-5510
Authorized Official
Title or Position : PRESIDENT
Name : NICHOLAS E GLASER
Credential :
Telephone Number : 800-243-3839
Provider Enumeration Date : 03/17/2022
Last Update Date : 10/22/2024

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

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