PEDIATRIX MEDICAL GROUP OF FLORIDA INC

Provider Demographics

• NPI: 1083711790
• Name: PEDIATRIX MEDICAL GROUP OF FLORIDA INC
• Entity Type: Organization
• Organization Name: PEDIATRIX MEDICAL GROUP OF FLORIDA INC
• Authorized Official - Title/Position: ASSISTANT SECRETARY
• Authorized Official - First Name: LINDA
• Authorized Official - Last Name: CHEN
• Authorized Official - Phone: 800-243-3839
• Mailing Address - Street 1: 1301 CONCORD TER
• Mailing Address - City: SUNRISE
• Mailing Address - State: FL
• Mailing Address - Zip Code: 33323-2843
• Mailing Address - Country: US
• Mailing Address - Phone: 954-384-0175
• Mailing Address - Fax: 954-851-1948
• Practice Address - Street 1: 1301 CONCORD TER
• Practice Address - City: SUNRISE
• Practice Address - State: FL
• Practice Address - Zip Code: 33323-2843
• Practice Address - Country: US
• Practice Address - Phone: 954-384-0175
• Practice Address - Fax: 954-851-1948
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-09-17
• Last Update Date: 2023-10-17

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	2080P0202X	Allopathic & Osteopathic Physicians	Pediatrics	Pediatric Cardiology	Group - Multi-Specialty
No	207V00000X	Allopathic & Osteopathic Physicians	Obstetrics & Gynecology		Group - Multi-Specialty
No	207VM0101X	Allopathic & Osteopathic Physicians	Obstetrics & Gynecology	Maternal & Fetal Medicine	Group - Multi-Specialty
No	2080N0001X	Allopathic & Osteopathic Physicians	Pediatrics	Neonatal-Perinatal Medicine	Group - Multi-Specialty
No	2080P0008X	Allopathic & Osteopathic Physicians	Pediatrics	Neurodevelopmental Disabilities	Group - Multi-Specialty
No	2080P0203X	Allopathic & Osteopathic Physicians	Pediatrics	Pediatric Critical Care Medicine	Group - Multi-Specialty
No	2080P0205X	Allopathic & Osteopathic Physicians	Pediatrics	Pediatric Endocrinology	Group - Multi-Specialty
No	208200000X	Allopathic & Osteopathic Physicians	Plastic Surgery		Group - Multi-Specialty
No	2088P0231X	Allopathic & Osteopathic Physicians	Urology	Pediatric Urology	Group - Multi-Specialty
No	208M00000X	Allopathic & Osteopathic Physicians	Hospitalist		Group - Multi-Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
FL	002741907	Medicaid
FL	002741924	Medicaid
FL	002741938	Medicaid
FL	002741940	Medicaid
FL	002741947	Medicaid
FL	060035198	Medicaid
FL	002741900	Medicaid
FL	002741914	Medicaid
FL	002741927	Medicaid
FL	002741935	Medicaid
FL	002741936	Medicaid
FL	002741908	Medicaid
FL	002741920	Medicaid
FL	002741937	Medicaid
FL	002741945	Medicaid
FL	002741946	Medicaid
FL	002741951	Medicaid
FL	060035156	Medicaid
FL	060035176	Medicaid
FL	002741919	Medicaid
FL	002741926	Medicaid
FL	060035169	Medicaid
FL	002741922	Medicaid
FL	060035157	Medicaid
FL	002741906	Medicaid
FL	002741910	Medicaid
FL	002741911	Medicaid
FL	002741912	Medicaid
FL	002741913	Medicaid
FL	002741929	Medicaid
FL	002741941	Medicaid
FL	002741944	Medicaid
FL	002741948	Medicaid
FL	002741956	Medicaid
FL	002741905	Medicaid
FL	002741923	Medicaid
FL	002741925	Medicaid
FL	002741932	Medicaid
FL	002741934	Medicaid
FL	002741903	Medicaid
FL	002741930	Medicaid
FL	002741931	Medicaid
FL	002741939	Medicaid
FL	002741942	Medicaid
FL	002741958	Medicaid
FL	269595221	Medicaid
FL	002741927	Medicaid
FL	002741941	Medicaid
FL	002741956	Medicaid
FL	99364C	Medicare PIN