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General NPI Number Information
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NPI Number | 1396312872
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Entity Type | Organization
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Legal Business Name | PEDIATRIX MEDICAL GROUP OF FLORIDA, INC
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Dates
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Enumeration Date | 06/04/2021
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 14550 OLD SAINT AUGUSTINE RD
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City | JACKSONVILLE
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State | FL
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Zip | 32258-2460
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Country | US
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Telephone | 904-271-6000
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Fax | 855-527-5510
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Provider Business Mailing Address
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Address Line | 1301 CONCORD TER
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City | SUNRISE
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State | FL
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Zip | 33323-2843
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Country | US
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Telephone | 800-243-3839
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | NICHOLAS E. GLASER
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Credential |
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Telephone | 800-243-3839
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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