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General NPI Number Information
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NPI Number | 1700453503
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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 | 06/09/2021
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 60 W GORE ST
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City | ORLANDO
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State | FL
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Zip | 32806-1141
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Country | US
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Telephone | 321-841-4829
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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 | 855-527-5510
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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 | 207YP0228X
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Taxonomy Name | Pediatric Otolaryngology Physician
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License Number |
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License Number State |
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