Healthcare Provider Details

I. General information

NPI: 1164321477
Provider Name (Legal Business Name): PEDIATRIX MEDICAL GROUP OF FLORIDA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2026
Last Update Date: 11/04/2026
Certification Date: 11/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6440 W NEWBERRY RD STE 507
GAINESVILLE FL
32605-8302
US

IV. Provider business mailing address

PO BOX 277279
ATLANTA GA
30384-7279
US

V. Phone/Fax

Practice location:
  • Phone: 800-243-3839
  • Fax: 855-527-5510
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: NANETTE SANDERS
Title or Position: ASST. SECRETARY
Credential:
Phone: 800-243-3839