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	License Number	License Number State
1	207VM0101X	Maternal & Fetal Medicine 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	:	1588330765
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	:

Provider Business Practice Location Address
First Line	:	16400 NW 2ND AVE STE 101
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33169-6035
Country	:	US
Telephone Number	:	305-705-4575
Fax Number	:	855-527-5510

Authorized Official
Title or Position	:	PRESIDENT
Name	:	NICHOLAS E. GLASER
Credential	:
Telephone Number	:	800-243-3839

Provider Enumeration Date	:	08/18/2021
Last Update Date	:	06/12/2025

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