Pediatrix Medical Group Of Florida, INC
Obstetrics & Gynecology in Brooksville, FL. Organization (NPI-2).
NPI number1215756127
StatusActive
Last updated in NPPESOct 8, 2024
Details
- NPI
- 1215756127
- Entity type
- Organization (NPI-2)
- Legal business name
- Pediatrix Medical Group Of Florida, INC
- Organization subpart
- No
- Enumeration date
- Oct 8, 2024
- Certification date
- Oct 8, 2024
- Last updated
- Oct 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | – | – | Yes |
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | – | – | |
| 2080P0202X | Pediatrics, Pediatric Cardiology | – | – |
Practice location
11371 Cortez BlvdSte 101
Brooksville, FL 34613-5408
Phone 800-243-3839
Mailing address
1301 Concord Ter,Sunrise, FL 33323-2843
Phone 800-243-3839
Authorized official
Nicholas E. Glaser
President
8002433839
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