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
1	2086S0120X	Pediatric Surgery Physician
2	2088P0231X	Pediatric Urology Physician
3	2086S0122X	Plastic and Reconstructive Surgery Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396421640
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	:	855-527-2210

Provider Business Practice Location Address
First Line	:	2727 W DR MARTIN LUTHER KING JR BLVD STE 200
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-6003
Country	:	US
Telephone Number	:	800-243-3839
Fax Number	:	855-527-5510

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LINDA CHEN
Credential	:
Telephone Number	:	800-243-3839

Provider Enumeration Date	:	06/22/2023
Last Update Date	:	06/30/2023

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

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