Pediatrix Medical Group Of Florida INC
Obstetrics & Gynecology, Maternal & Fetal Medicine in Orange Park, FL. Organization (NPI-2).
NPI number1164091328
StatusActive
Last updated in NPPESJun 9, 2025
Details
- NPI
- 1164091328
- Entity type
- Organization (NPI-2)
- Legal business name
- Pediatrix Medical Group Of Florida INC
- Organization subpart
- No
- Enumeration date
- Jun 22, 2021
- Certification date
- Jun 9, 2025
- Last updated
- Jun 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VM0101X | Obstetrics & Gynecology, Maternal & Fetal Medicine | – | – | Yes |
| 207V00000X | Obstetrics & Gynecology | – | – |
Practice location
1887 Kingsley Ave Ste 1900Orange Park, FL 32073-4451
Phone 800-243-3839 · Fax 855-527-5510
Mailing address
1301 Concord TerSunrise, FL 33323-2843
Phone 800-243-3839 · Fax 855-527-5510
Authorized official
Nicholas E. Glaser
President
8002433839
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