Healthcare Provider Details

I. General information

NPI: 1154220275
Provider Name (Legal Business Name): PEDIATRIX MEDICAL GROUP OF FLORIDA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

345 JUPITER LAKES BLVD STE 302B
JUPITER FL
33458-7100
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: 800-243-3938
  • Fax: 855-527-5510

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: ASSISTANT SECRETARY
Credential:
Phone: 800-243-3839